Use of 'off the shelf' extracellular matrix graft materials for repair of testicular rupture: a novel technique
| Autor: | Henry Collier Wright, Daniel Marchalik, Gaurav Bandi, Jeffrey A. Triest |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
endocrine system medicine.medical_specialty Urology medicine.medical_treatment Ischemia urologic and male genital diseases Wounds Nonpenetrating Surgical Flaps Urogenital Surgical Procedure Tunica albuginea (ovaries) Young Adult Dermis Testis medicine Cadaver Animals Humans Rupture Debridement urogenital system business.industry Testicular rupture Plastic Surgery Procedures medicine.disease Urogenital Surgical Procedures Surgery Extracellular Matrix medicine.anatomical_structure Cattle Cadaveric spasm business Pericardium |
| Zdroj: | Urology. 84(3) |
| ISSN: | 1527-9995 |
| Popis: | Objective To describe a new technique for repairing traumatic testicular ruptures using readily available graft material. Materials and Methods Surgical management of testicular rupture is often associated with loss of testicular parenchyma because of tissue debridement and concerns of pressure-related ischemia. We present our experience with 3 cases using a novel technique using extracellular matrix graft materials for the reconstruction of tunica albuginea in patients with testicular rupture. We describe a case using bovine pericardium (Neovasc Inc, Richmond, British Columbia) and 2 cases using cadaveric dermis (Coloplast Inc, Minneapolis, MN) to repair complex testicular defects without debridement of extruded testicular parenchyma. Results No postoperative complications occurred in any of the patients. Long-term follow-up at 18 months for one patient revealed good cosmetic results, with radiographic findings confirming testicular integrity and flow. Conclusion The use of graft material in the repair of testicular rupture helps prevent the loss of testicular parenchyma through a tension-free closure leading to excellent cosmetic and radiographic outcomes. |
| Databáze: | OpenAIRE |
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