title: Salvage of a complicated penis replantation using bipedicled scrotal flap following a prolonged ischaemia time.
abstract: Microsurgical replantation is the standard method to treat penile amputation. The loss of variable area of skin is a common complication following penile replantation due to prolonged ischaemia time, postoperative venous congestion, oedema and wound infection. There is limited literature available on the management of complications following replantation. A skin graft is commonly used to resurface the denuded areas after skin necrosis. However, this simple and rapid approach has some inherent disadvantages, including paresthesia, contracture, mismatched skin colour and disfiguring donor site. In this report, we present the salvage of a replanted penis by a bipedicled scrotal flap in which the skin fragment was necrosed due to prolonged ischaemia time. Cosmetic and functional outcomes in the 1-year follow-up period were satisfactory.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan. gielibra@yahoo.com.tw
authors.forename: Wei-Cheng
authors.initials: WC
authors.lastname: Ching
authors.forename: Han-Tsung
authors.initials: HT
authors.lastname: Liao
authors.forename: Betul Gozel
authors.initials: BG
authors.lastname: Ulusal
authors.forename: Chien-Tzung
authors.initials: CT
authors.lastname: Chen
authors.forename: Chih-Hung
authors.initials: CH
authors.lastname: Lin
mesh_terms: D000673:Amputation, Traumatic / Q000601:surgery*; D003646:Debridement / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000601:surgery*; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D010413:Penis / Q000098:blood supply / Q000293:injuries* / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods; D012092:Replantation / Q000009:adverse effects* / Q000379:methods; D016879:Salvage Therapy / Q000379:methods*; D012611:Scrotum / Q000098:blood supply / Q000637:transplantation*; D013524:Surgical Flaps / Q000098:blood supply*; D013997:Time Factors; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects / Q000379:methods; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods