scholarly journals Free Tissue Transfer Penile Reconstruction

2019 ◽  
Vol 33 (01) ◽  
pp. 024-029 ◽  
Author(s):  
Jason Cohn ◽  
Weitao Wang ◽  
Mofiyinfolu Sokoya ◽  
Yadranko Ducic ◽  
Bradley Kropp
Keyword(s):  
Free Tissue Transfer ◽  
Anterolateral Thigh Flap ◽  
Complete Excision ◽  
Advantages And Disadvantages ◽  
Tissue Transfer ◽  
Anterolateral Thigh ◽  
Gender Affirmation ◽  
Scapular Flap ◽  
Radial Forearm ◽  
And Gender

AbstractPhalloplasty can be a challenging plastic surgery procedure associated with complications and unsatisfactory results. Phalloplasty has become an important procedure in the setting of trauma, partial or complete excision of the penis, and gender affirmation. Advances in microsurgery has expanded penile reconstruction through free tissue transfer techniques which include the radial forearm free flap, fibular osteocutaneous flap, anterolateral thigh flap, latissimus dorsi flap, scapular flap, and abdominal flaps. Each procedure has advantages and disadvantages; most of the procedures achieve adequate cosmetic results with high patient satisfaction. Most of the surgical complications are related to the reconstruction of the urethra or creating rigidity for intercourse. The main goals of reconstruction are to create a cosmetically appealing phallus with satisfactory sexual function.

scholarly journals Short-term augmentation of venous drainage with extra-corporeal shunt and simultaneous auto-transfusion, for salvaging a congested free flap

2013 ◽  
Vol 46 (03) ◽  
pp. 572-576 ◽  
Author(s):  
Rahul K. Patil ◽  
Kiran Jayaprasad ◽  
Saurabh Sharma ◽  
Mohit Sharma ◽  
Jimmy Mathew
Keyword(s):  
Tibial Fracture ◽  
Venous Blood ◽  
Free Tissue Transfer ◽  
Venous Drainage ◽  
Anterolateral Thigh Flap ◽  
Short Term ◽  
Critical Part ◽  
Tissue Transfer ◽  
Anterolateral Thigh ◽  
Potential Applications

ABSTRACTAdequate drainage of venous blood is the most critical part of successful free tissue transfer. We report a case of anterolateral thigh flap used for covering open communited tibial fracture. The flap was salvaged with short term augmentation of venous drainage with external shunt. The drainage was continued for six days. It was confirmed that there is no more congestion after blocking the catheter and then the drainage was discontinued on seventh day. The flap was successfully salvaged. This method has potential applications in multiple situations for successful salvage of free tissue transfer.

scholarly journals Microsurgical free tissue transfer as avaluable reconstructive procedure in foot reconstruction

2007 ◽  
Vol 40 (02) ◽  
pp. 141-146
Author(s):  
mohamed el-shazly ◽  
mohamed makboul
Keyword(s):  
Free Flap ◽  
Motor Vehicle ◽  
Donor Site ◽  
Free Tissue Transfer ◽  
Free Flaps ◽  
Vehicle Accidents ◽  
Tissue Transfer ◽  
Scapular Flap ◽  
Radial Forearm ◽  
Foot Reconstruction

ABSTRACT Background: owing to the limited soft tissue donor sites in the foot area, the use of microsurgical tissue transfer is frequently becoming mandatory in this area, especially in cases of massive defects due to the common motor vehicle accidents in the territory of upper egypt. free flaps offer a great variety of available tissues to cover larger, multifocal or multistructural defects. they also improve the perfusion of the infected poorly perfused areas.Objectives: in this study, we tried to evaluate foot defects according to their size, shape and site and to determine the general and specific parameters of free tissue transfer to the foot area in concomitance with the patients needs.Materials and methods: eleven patients were included in this study. for each patient, complete history was taken, general and local examination, photographic documentation, laboratory investigations, imaging and other investigations were performed. free flap transfers were applied in all cases as follows: latissimus dorsi flap in five cases, rectus abdominis flap in three cases, scapular flap in one case, gracilis flap in one case and radial forearm flap in one case.Results: nine flaps survived. no infection or donor site complications were recorded. every patient had the optimum free flap as regards the defect size, site, depth, condition, shape, donor site availability and the recipient vessels′ condition.Conclusion: the study of the optimum free flap for foot reconstruction in relation to the defect present and patient conditions is crucial to have significant results.

scholarly journals Soft Tissue Microvascular Reconstruction of Orbital Exenteration Defects

2019 ◽  
Vol 33 (02) ◽  
pp. 125-131
Author(s):  
Arvind Badhey ◽  
Yarah Haidar ◽  
Eric Genden
Keyword(s):  
Soft Tissue ◽  
Free Tissue Transfer ◽  
Head And Neck Reconstruction ◽  
Microvascular Reconstruction ◽  
Orbital Exenteration ◽  
Oncologic Surgery ◽  
Form And Function ◽  
Advantages And Disadvantages ◽  
Tissue Transfer ◽  
Radial Forearm

AbstractThe main goal of head and neck reconstruction is the restoration of form and function. Oncologic surgery makes this process more complex, as the preplanned defect can be very different from its intraoperative counterpart. This emphasizes the role of preoperative planning and a diverse reconstructive “tool box” that can accommodate a variety of complicated defects. The other reconstructive goals are determined by the patient with the aid of an interdisciplinary team. While multiple local and regional reconstructive options are available, free tissue transfer provides a versatile and reliable option for reconstruction—especially for complex orbital defects. Here the authors discuss free soft tissue transfer options for orbital exenteration. This review will catalog the advantages and disadvantages of the radial forearm, rectus abdominis, latissimus, and anterolateral thigh.

scholarly journals Microsurgery Technique in the Foot Reconstruction of Soft Tissue Defects: A Review of 4 Cases

1970 ◽  
Vol 1 (1) ◽  
Author(s):  
Parintosa Atmodiwirjo ◽  
Afriyanti Sandhi
Keyword(s):  
Soft Tissue ◽  
Donor Site ◽  
Free Tissue Transfer ◽  
Donor Site Morbidity ◽  
Soft Tissue Defects ◽  
Tissue Transfer ◽  
Anterolateral Thigh ◽  
Radial Forearm ◽  
Foot Reconstruction ◽  
Tissue Defects

The restoration of an intact covering is the primary surgical requisite following soft tissue defects in the foot because deep healing can be no better than the surface covering. Soft tissue defects that expose underlying bones, joints, and tendons pose challenging problems and require a free tissue transfer for a successful reconstruction.Total of 4 flaps in the foot was performed between February 2009 to February 2010. We reconstructed soft tissue defects in the foot in 4 patients using 3 free anterolateral thigh (ALT) flaps and 1 free radial forearm (RF) flap. Trauma was the commonest cause in our patients.Free ALT and RF flaps provided stable and durable long-term wound cover in all patients. Complications were few and manageable.Free tissue transfer has become commonplace in many centers around the world. The numerous advantages include stable wound coverage; improve aesthetic and functional outcomes, and minimal donor site morbidity. In our experience, we found that the using of free ALT and RF flaps in foot defects reconstruction, to be technically affordable, reliable and have resulted in excellent outcomes.

Vascularized Radial Forearm Free Tissue Transfer for Lining in Nasal Reconstruction

2003 ◽  
Vol 113 (12) ◽  
pp. 2078-2085 ◽  
Author(s):  
Eric J. Moore ◽  
Scott A. Strome ◽  
Jan L. Kasperbauer ◽  
David A. Sherris ◽  
Lance A. Manning
Keyword(s):  
Free Tissue Transfer ◽  
Nasal Reconstruction ◽  
Tissue Transfer ◽  
Radial Forearm

Radial Forearm Free Tissue Transfer Reduces Complications in Salvage Skull Base Surgery

2004 ◽  
Vol 131 (6) ◽  
pp. 958-963 ◽  
Author(s):  
Douglas B. Chepeha ◽  
Steven J. Wang ◽  
Lawrence J. Marentette ◽  
Byron G. Thompson ◽  
Mark E. Prince ◽  
...  
Keyword(s):  
Skull Base ◽  
Skull Base Surgery ◽  
Free Tissue Transfer ◽  
Tissue Transfer ◽  
Radial Forearm
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