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Penoscrotal reconstruction with gracilis muscle flap and internal pudendal artery perforator flap transposition

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dc.contributor.author나동균-
dc.contributor.author이석현-
dc.contributor.author이원재-
dc.date.accessioned2014-12-19T17:45:25Z-
dc.date.available2014-12-19T17:45:25Z-
dc.date.issued2012-
dc.identifier.issn0090-4295-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/91998-
dc.description.abstractOBJECTIVE: Extensive defects of the perineal area, with exposure of the testes, are difficult to reconstruct. For the reconstruction of these defects, we applied gracilis muscle flap combined with pudendal artery perforator fasciocutaneous flap, which provided us a reliable cutaneous flap and allowed us to cover exposed testes with sufficient muscular volume. METHODS: We retrospectively analyzed 7 patients from 2004-2011 whose penoscrotal defects had been reconstructed using gracilis muscle flap and an internal pudendal artery perforator flap. Six had Fournier's gangrene and 1 had extramammary Paget's disease. We examined characteristics of the patients, preoperative management, operative procedure, and their clinical courses. RESULTS: All flaps survived during the entire follow-up periods. The mean width of the defects was 10.14 cm and the mean length was 9.29 cm. The width of the fasciocutaneous flap was approximately 6-10 cm, whereas the length ranged from 10-15 cm. The reconstructed areas were in good functional and esthetic conditions. CONCLUSION: The combination of the gracilis muscle flap and the internal pudendal artery perforator fasciocutaneous flap provides pliable and reliable soft tissue coverage for extensive penoscrotal defects with adequate bulkiness and minimal donor site morbidity.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfUROLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHFournier Gangrene/surgery*-
dc.subject.MESHGenital Diseases, Male/surgery*-
dc.subject.MESHGenital Neoplasms, Male/surgery-
dc.subject.MESHHumans-
dc.subject.MESHLaser-Doppler Flowmetry-
dc.subject.MESHMale-
dc.subject.MESHPaget Disease, Extramammary/surgery-
dc.subject.MESHPenis/surgery*-
dc.subject.MESHPerineum/blood supply-
dc.subject.MESHReconstructive Surgical Procedures/methods*-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHScrotum/surgery*-
dc.subject.MESHSurgical Flaps*/blood supply-
dc.titlePenoscrotal reconstruction with gracilis muscle flap and internal pudendal artery perforator flap transposition-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Plastic Surgery & Reconstructive Surgery (성형외과학)-
dc.contributor.googleauthorSuk Hyun Lee-
dc.contributor.googleauthorDong Kyun Rah-
dc.contributor.googleauthorWon Jai Lee-
dc.identifier.doi22656416-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01229-
dc.contributor.localIdA02853-
dc.contributor.localIdA03005-
dc.relation.journalcodeJ02775-
dc.identifier.eissn1527-9995-
dc.identifier.pmid22656416-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0090429512002907-
dc.subject.keywordAdult-
dc.subject.keywordFournier Gangrene/surgery*-
dc.subject.keywordGenital Diseases, Male/surgery*-
dc.subject.keywordGenital Neoplasms, Male/surgery-
dc.subject.keywordHumans-
dc.subject.keywordLaser-Doppler Flowmetry-
dc.subject.keywordMale-
dc.subject.keywordPaget Disease, Extramammary/surgery-
dc.subject.keywordPenis/surgery*-
dc.subject.keywordPerineum/blood supply-
dc.subject.keywordReconstructive Surgical Procedures/methods*-
dc.subject.keywordRetrospective Studies-
dc.subject.keywordScrotum/surgery*-
dc.subject.keywordSurgical Flaps*/blood supply-
dc.contributor.alternativeNameRah, Dong Kyun-
dc.contributor.alternativeNameLee, Suk Hyun-
dc.contributor.alternativeNameLee, Won Jai-
dc.contributor.affiliatedAuthorRah, Dong Kyun-
dc.contributor.affiliatedAuthorLee, Suk Hyun-
dc.contributor.affiliatedAuthorLee, Won Jai-
dc.citation.volume79-
dc.citation.number6-
dc.citation.startPage1390-
dc.citation.endPage1394-
dc.identifier.bibliographicCitationUROLOGY, Vol.79(6) : 1390-1394, 2012-
dc.identifier.rimsid30059-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers

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