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Reverse circumcision foreskin advancement flap for reconstructing penile shaft skin defects in adults with burn injuries in the perineal region.
Salazar-Trujillo, Bruno Andrés; Vélez-Palafox, Mario; Guerrero-Montes, Jorge Antonio; Márquez-Gutiérrez, Erik Agustín; Morel-Fuentes, Elsa Juliet; González-Torres, Maykel.
Afiliação
  • Salazar-Trujillo BA; Division of Plastic and Reconstructive Surgery, National Center for Research and Care of Burns, National Institute of Rehabilitation, Mexico City, Mexico.
  • Vélez-Palafox M; Division Head of Plastic and Reconstructive Surgery, National Center for Research and Care of Burns, National Institute of Rehabilitation, Mexico City, Mexico; Universidad Nacional Autónoma de México, Mexico City, Mexico. Electronic address: mariovelez@hotmail.com.
  • Guerrero-Montes JA; Division of Plastic and Reconstructive Surgery, National Center for Research and Care of Burns, National Institute of Rehabilitation, Mexico City, Mexico.
  • Márquez-Gutiérrez EA; Division of Plastic and Reconstructive Surgery, National Center for Research and Care of Burns, National Institute of Rehabilitation, Mexico City, Mexico.
  • Morel-Fuentes EJ; Plastic Aesthetic and Reconstructive Surgery Service. American British Codraw (ABC) Medical Center Hospital, Mexico City, Mexico.
  • González-Torres M; Biotechnology Laboratory, National Institute of Rehabilitation, Mexico City, Mexico. Electronic address: maykel.gonzalez@conahcyt.mx.
J Tissue Viability ; 2024 Jun 22.
Article em En | MEDLINE | ID: mdl-38918146
ABSTRACT

AIM:

Genital burns are rare injuries. Reconstruction of penile skin defects should consider cosmetic and functional outcomes. Skin grafts can develop scar contractures and carry hair follicles, causing unwanted results. These downsides remain unsolved issues. This work aimed to describe a new foreskin advancement flap method for completely reconstructing penile shaft skin defects in severely burned patients. MATERIALS AND

METHODS:

From 2021 to 2023, four patients with third-degree burns in the genital area were enrolled in this investigation. We describe a series of cases with deep burns to the penile shaft and surrounding area that needed debridement and reconstruction using a novel technique called "reverse circumcision," which consists of tangential excision of the penis and a foreskin advancement flap without longitudinal cuts with less morbidity, preservation of function, and a better aesthetic appearance. The patients had an average follow-up of nine months.

RESULTS:

The reverse circumcision technique was established for patients with severe burns in the genital area. The four patients were satisfied with the postoperative results and the aesthetic results of the procedure without reporting any complications. No scarring or contractures were observed on the glans or penile shaft after surgery.

CONCLUSIONS:

Compared with other flap methods, the use of a reverse circumcision foreskin advancement flap was more straightforward, feasible, and effective. In adults, the foreskin tissue completely covers the penile shaft skin defect. It is a viable reconstructive surgical technique that is easily reproducible and has excellent aesthetic and functional results. For this surgical technique, tissue transfers, bulky regional flaps, or skin grafts were not needed.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Tissue Viability Assunto da revista: ENFERMAGEM / FISIOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: México País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Tissue Viability Assunto da revista: ENFERMAGEM / FISIOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: México País de publicação: Reino Unido