Is a coupled to the suitable for urethral-perineal reconstruction? Considerations about a relapsing urethral-cutaneous fistula condition.

This study highlights the effectiveness, in one surgical stage, of two combined local techniques for perineal fistula repair in a patient with spinal cord injury: the " and the " from the inferior gluteal fold. Unlike the traditional , we harvested a ; by definition, this is a flap with a narrow diffuse microvascular supply aimed in our case at shielding the neourethra and substituting the remaining scarred perineum. The urethroplasty technique adopted, the has been based on sculpting two opposing local cutaneous flaps circumscribing the fistulous cutaneous openings.

Double Opposing Triangular Flaps for Circular Skin Defects: Clinical Considerations.

Background: Dealing with circular lesions turns out to be a difficult task. Several techniques are aimed at working out the issue, and there are two main goals to achieve: less distortion of the adjacent tissue and sparing as much healthy tissue as possible.

Methods: Six patients have been selected in a period of 6 months, the skin lesions or reoperations entailed a residual round gap up to 5 cm as a diameter.