Major defects of the perineum are often complicated by contracture, radiation injuries, fistulas, and infection. In addition, the perineal surface is unique, and any replacement must meet the requirements of mobility, sensitivity, durability, elasticity, and weight bearing. This combination of complex defects and special surface requirements can be met by adequate extirpative procedures and reconstruction with a number of muscle, musculocutaneous, and fasciocutaneous flap options.
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World J Urol
January 2025
Department of Urology, Shanghai Sixth People's Hospital, Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Eastern Institute of Urologic Reconstruction, Shanghai, 200233, China.
Purpose: To determine the clinical effects of urethral suspension-assisted urethral anastomosis on complex long-segment posterior urethral stricture and describe the technical aspects of this procedure.
Materials And Methods: The clinical data for 24 patients who underwent urethral suspension-assisted urethral anastomosis for complex long-segment posterior urethral stricture between March 2021 and March 2024 were retrospectively analyzed. The surgical procedure comprises the following four steps: creation of an inverted Y-shaped incision in the perineum; mobilization of the urethra up to the penile-scrotal junction followed by dissection and separation of the septum of the corpus cavernosum; separation of the inferior pubic symphysis, excising a portion of the inferior pubic symphysis bone tissue and thoroughly clearing the scar tissue surrounding the proximal urethra; and suturing and suspension of the proximal urethra and surrounding tissues at the 2, 5, 7, and 10 o'clock positions, ensuring complete exposure of the proximal urethral mucosa and tension-free anastomosis between the proximal and distal urethra.
Medicina (Kaunas)
December 2024
Department of Plastic Surgery and Reconstructive Microsurgery, "Carol Davila" University of Medicine and Pharmacy Bucharest, 010825 Bucharest, Romania.
Burn injury represents a very important public health problem that affects all age groups. Of all burns, of particular interest is that of the perineum. Despite the importance of the subject, unfortunately, the medical literature on this anatomical region is sparse.
View Article and Find Full Text PDFOpen Vet J
November 2024
Department of Veterinary Clinic and Surgery, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
Background: Surgeries performed on the gastrointestinal system represent a significant caseload among small animal surgeries. Colostomy aims to temporarily or permanently divert the gastrointestinal tract but it is not commonly performed in veterinary medicine. Information regarding such procedures is scarce and the surgical technique is poorly described.
View Article and Find Full Text PDFObjective: The purpose of this study was to define the angiosome of a cutaneous artery arising from the caudal gluteal artery and identify landmarks for its use as an axial pattern flap.
Methods: This was an experimental anatomic study done between July 2019 and July 2021 with a retrospective review of CT scans. Twenty postcontrast CT scans in client-owned dogs, unrelated to this study, were evaluated for identification of a potential angiosome over the hip region.
Tech Coloproctol
December 2024
Research Institute-Regional Clinical Hospital No. 1 Named After. Prof. S.V. Ochapovsky" (Ministry of Healthcare of the Krasnodar Region), Krasnodar, Russia.
This article presents an innovative technique for perineal wound reconstruction following extralevator abdominoperineal excision (ELAPE) in rectal cancer surgery. The authors trace the evolution of surgical methods for rectal cancer treatment, from W.E.
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