The transverse outer preputial (TOP) island flap: an easy method to cover urethroplasties and skin defects in hypospadias repair
| Autor: | R.-B. Galifer, N. Kalfa |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
business.industry Urology Urethroplasty medicine.medical_treatment Preputial gland Epispadias Anatomy medicine.disease Surgery Foreskin Transverse plane medicine.anatomical_structure Urethra Hypospadias Pediatrics Perinatology and Child Health medicine medicine.symptom business Chordee |
| Zdroj: | Journal of Pediatric Urology. 1:89-94 |
| ISSN: | 1477-5131 |
| DOI: | 10.1016/j.jpurol.2004.11.010 |
| Popis: | The transverse outer preputial (TOP) island flap, a simple procedure inspired by the double-faced island flap, is proposed as a substitute for the Byars repair to provide skin coverage for most of the current reconstructive techniques for hypospadias.From 1996 to 2003, 108 consecutive children (aged 1-8 years) had a primary repair of various forms of hypospadias with different degrees of chordee; the TOP island flap was used in 66. The surgical technique is based on the use of a dorsal transverse skin flap mobilized with its own vascular pedicle from the outer foreskin, then ventrally rotated longitudinally after removing the inner part of the prepuce.Partial necrosis of the lateral border of the flap was infrequent (2%) and did not induce urethral complications. There was no total necrosis in the series. The rate of fistula was comparable with children operated using other techniques (8%). The cosmesis was good, with no ventral bulkiness or hypertrophic scarring.The TOP island flap is a safe method for covering a new urethra and penile skin defects, with good cosmetic results. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect