LATE SALVAGE OF A FREE-FLAP PHALLOPLASTY - A CASE-REPORT

被引：13
作者：
NOORDANUS, RP
HAGE, JJ
机构：
[1] Department of Plastic and Reconstructive Surgery, Academic Hospital of the Free University, Amsterdam
来源：
MICROSURGERY | 1993年 / 14卷 / 09期
关键词：
D O I：
10.1002/micr.1920140911
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Three weeks after radial forearm free flap phalloplasty, a 28-year-old female-to-male transsexual presented with ischaemia of the neophallus. A salvage procedure was started 7 hours after onset of ischemia. Thrombectomy of the arterial pedicle did not result in venous return of the arterial inflow. Perfusion of the flap with streptokinase restored venous return. Flap perfusion was confirmed by intraoperative direct angiography of the neophallus. Six months after this salvage procedure, the flap is doing well and tactile sensibility has occurred. (C) 1993 Wiley-Liss, Inc.
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页码：599 / 600
页数：2
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共 12 条
  • [1] Davies DM, A world survey of anticoagulation practice in clinical microvascular surgery, Br J Plast Surg, 35, pp. 96-99, (1982)
  • [2] Salemark L, International survey of current microvascular practices in free transfer and replantation surgery, Microsurgery, 12, pp. 308-311, (1991)
  • [3] Chang TS, Hwang WY, Forearm flap in one‐stage reconstruction of the penis, Plast Reconstr Surg, 74, pp. 251-258, (1984)
  • [4] Jelalian C, Mehrhof A, Cohen IK, Richardson J, Meritt WH, Streptokinase in the treatment of acute arterial occlusion of the hand, J Hand Surg [Am], 10, pp. 534-538, (1985)
  • [5] May JW, Rothkopf DM, Salvage of a failing microvascular free muscle flap by direct continuous intravascular infusion of heparin: a case report, Plast Reconstr Surg, 83, pp. 1045-1048, (1989)
  • [6] Kay S, Gilpin DJ, Combined microsurgical and thrombolytic salvage of an ischaemic lower limb in a 1079 gram preterm neonate, British Journal of Plastic Surgery, 44, pp. 310-311, (1991)
  • [7] Jernbeck J, Dalsgaard CJ, Calcitonin gene‐related peptide treatment of flaps with compromised circulation in humans, Plast Reconstr Surg, 91, pp. 236-244, (1993)
  • [8] Puckett CL, Misholy H, Reinish JF, The effects of streptokinase on ischemic flaps, J Hand Surg, 8, pp. 101-104, (1983)
  • [9] Parkhouse N, Smith PJ, The use of streptokinase in replant salvage, J Hand Surg [Br], 16, pp. 53-55, (1991)
  • [10] Jacobs GR, Reinisch JF, Puckett CL, Microvascular fibrinolysis after ischemia: its relation to vascular patency and tissue survival, Plast Reconstr Surg, 68, (1981)
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