지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 584 - 588 (5page)
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초록· 키워드
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Background The ability to achieve a long-term, stricture-free urethral repair is one of the ongoing challenges of reconstructive urologic surgery. A successful initial repair is critical, as repeat procedures are difficult, owing to distortion, scarring, and short urethral stumps. Methods We describe a technique in which the gracilis muscle flap is laid on or wrapped around the urethral repair site to provide a well-vascularised soft tissue reinforcement for urethral repair. This technique promotes vascular induction, whereby a new blood supply is introduced to the repair site to improve the outcome of urethral repair or anastomotic urethroplasty. The surface contact between the muscle flap and the repair site is enhanced by the use of fibrin glue to improve adherence and promote inosculation and healing. We employed this technique in 4 patients with different urethral defects. Results After a follow-up period of 32 to 108 months, all of the urethral repairs were successful without complications. Conclusions Our results suggest that the use of a gracilis muscle flap to vascularise urethral repairs can improve the outcome of challenging urethral repairs.
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등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Andrich DE / 2003 / The long-term results of urethroplasty / J Urol 170:90~92
Brandes SB / 2008 / Vascular anatomy of the genital skin and the urethra: implications for urethral reconstruction, in Urethral reconstructive surgery / Humana Press :153~164
Shenfeld OZ / 2003 / The incidence and causes of erectile dysfunction after pelvic fractures associated with posterior urethral disruption / J Urol 169:2173~2176
Jordan GH / 1997 / Penile revascularization after pelvic trauma: current rationale and results / Contemp Urol 19:24~33
Meland NB / 1991 / Management of the recalcitrant total-hip arthroplasty wound / Plast Reconstr Surg 88:681~685
Brandes SB / 2008 / Vascular anatomy of the genital skin and the urethra: implications for urethral reconstruction, in Urethral reconstructive surgery / Humana Press :153~164
Shenfeld OZ / 2003 / The incidence and causes of erectile dysfunction after pelvic fractures associated with posterior urethral disruption / J Urol 169:2173~2176
Jordan GH / 1997 / Penile revascularization after pelvic trauma: current rationale and results / Contemp Urol 19:24~33
Meland NB / 1991 / Management of the recalcitrant total-hip arthroplasty wound / Plast Reconstr Surg 88:681~685
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