Successful penile replantation after complete amputation and 23 hours ischaemia time: the first in reported literature
| Autor: | Nader Henry, George Filobbos, Deborah Foong, Henry Bergman |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Paranoid schizophrenia medicine.medical_treatment 030232 urology & nephrology Ischemia 03 medical and health sciences 0302 clinical medicine Amputation Traumatic medicine Humans 030219 obstetrics & reproductive medicine Debridement business.industry Cold Ischemia General Medicine medicine.disease Reminder of Important Clinical Lesson Surgery Amputation Replantation Self Mutilation Skin grafting Complication business Psychosocial Penis |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| Popis: | Complete penile amputation is a rare and poorly documented injury with severe physical and psychosocial implications. Our institution presents a case of successful penile replantation following 23 hours of ischaemia time in a 34-year-old man with a history of paranoid schizophrenia who sustained a complete penile amputation during an act of deliberate self-harm. To the best of our knowledge, this is the longest documented ischaemia time for a successful penile replant in literature. The patient was able to achieve a full erection as early as 6 weeks postoperatively. Skin necrosis was noted as a common complication and this was successfully managed with debridement and skin grafting. Penile amputation injuries should be managed in a specialist centre with urological and plastic surgeons with expertise in microsurgical reconstruction. Penile replantation should be attempted, even if ischaemia time is prolonged, despite lower success rates given the significance of the injury to an individual. |
| Databáze: | OpenAIRE |
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