Ulus Travma Acil Cerrahi Derg. 2015; 21(3): 223-227 | DOI: 10.5505/tjtes.2015.47629

Kompleks penis defektinin kompozit anterolateral uyluk ve vaskülarize fasta lata flebi ile onarýmý

Þükrü Yazar¹, Muzaffer Eroglu², Ali Gokkaya³, Atilla Semercýoz^2
1Acýbadem Üniversitesi Týp Fakültesi, Plastik Ve Rekonstrüktif Cerrahi Anabilim Dalý, Ýstanbul
²Abant Ýzzet Baysal Üniversitesi Týp Fakültesi, Üroloji Anabilim Dalý, Bolu
³Abant Ýzzet Baysal Üniversitesi Týp Fakültesi, Plastik Ve Rekonstrüktif Cerrahi Anabilim Dalý, Bolu

Kompleks penis defektlerinin estetik ve fonksiyonel sonuçlarla tek aþamalý onarýmý oldukça zorlayýcý cerrahi prosedürlerdir. Rekonstrüksiyon için uygun teknik ve materyal seçimi, eksik dokularýn tipi, yara yüzeyinin geniþliði ve donör saha göz önünde bulundurularak yapýlýr. Bu yazýda, geçirilmiþ cerrahi bölgesinde geliþen enfeksiyona baðlý olarak parsiyel penis ve üretral defekt oluþan bir olgu sunuldu. Hasta perforator bazlý pediküllü kompozit anterolateral uyluk flebi ve vaskülarize fasya lata ile tedavi edildi. Üretral defekt vaskülarize fasya lata ile rekonstrükte edildi. Flebin geri kalan kýsmý sað kavernöz cisim ve penisteki deri defektinin kapatýlmasýnda kullanýldý. Rekonstrüksiyon sonrasýnda fistül geliþmedi ve üretra çapý iyi olarak nitelendirildi. Pediküllü kompozit anterolateral uyluk flebi, kompleks penis defektlerinin fonksiyonel ve estetik tek aþamalý rekonstrüksiyonuna uygun farklý doku komponentleri sunmaktadýr.

Anahtar Kelimeler: Kompleks penis defekti, perforator bazlý pediküllü, anterolateral uyluk flebi, vaskülarize fasya lata.

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The repair of complex penile defect with composite anterolateral thigh and vascularized fascia lata flap

Þükrü Yazar¹, Muzaffer Eroglu², Ali Gokkaya³, Atilla Semercýoz^2
1Acibadem University, Medical Faculty, Department Of Plastic And Reconstructive Surgery, Istanbul, Turkey
²Abant Izzet Baysal University, Medical Faculty, Department Of Urology, Bolu, Turkey
³Abant Izzet Baysal University, Medical Faculty, Department Of Plastic And Reconstructive Surgery, Bolu, Turkey

One-stage reconstruction of complex penile defects with functional and cosmetic results is a challenging procedure. The selection of proper technique and materials for reconstruction depends on the type of the deficient tissue components, the size of the wound surface, and the donor site. This article presented a case of a partial penile and urethral defect due to an infection in the previous surgical site. The patient was treated with a perforator based pedicled composite anterolateral thigh flap combined with vascularized fascia lata. The urethral defect was reconstructed with the vascularized fascia lata. The remaining part of the flap was used for the resurfacing of the right cavernous body and penile skin defect. There was no fistula and the urinary caliber was accepted as good. The pedicled composite anterolateral thigh flap contains various tissue components suitable for a functional and cosmetic reconstruction of complex penile defects using the one-stage technique.

Keywords: Complex penile defect, perforator based pedicled anterolateral thigh flap, vascularized fascia lata.

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ATIF KOPYALA