Document Detail


Microvascular Penile Replantation Utilizing the Deep Inferior Epigastric Vessels.
MedLine Citation:
PMID:  24995394     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The traumatic amputation of the penis is an emergency requiring immediate replantation using microvascular techniques. We present a case of a successful penile replantation using deep inferior epigastric vessels and saphenous vein interposition grafts. A novel technique is described. A 30-year-old man presented with a self-inflicted penile amputation. Due to inadequate flow from the proximal penile artery the left deep inferior epigastric vessels were used as the recipient vessels for replantation. Arterial and venous microvascular anastomoses were vein grafted with the right greater saphenous vein. Postoperative course was complicated by penile skin loss requiring skin grafts. The penis healed uneventfully with return of sensation, voiding, and erectile function at 3.5 months follow-up. The deep inferior epigastric vessels offer a robust flow, and are suitable as alternative recipient vessels in penile replantation.
Authors:
Mark M Leyngold; Carlos M Rivera-Serrano
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-7-4
Journal Detail:
Title:  Journal of reconstructive microsurgery     Volume:  -     ISSN:  1098-8947     ISO Abbreviation:  J Reconstr Microsurg     Publication Date:  2014 Jul 
Date Detail:
Created Date:  2014-7-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8502670     Medline TA:  J Reconstr Microsurg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
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