Penile Reconstruction with Skin Grafts and Dermal Matrices: Indications and Management
Identifieur interne : 000150 ( Pmc/Checkpoint ); précédent : 000149; suivant : 000151Penile Reconstruction with Skin Grafts and Dermal Matrices: Indications and Management
Auteurs : Paloma Triana Junco ; Mariela Dore ; Vanesa Nu Ez Cerezo ; Javier Jimenez Gomez ; Miriam Miguel Ferrero ; Mercedes Díaz González ; Pedro Lopez-Pereira ; Juan Carlos Lopez-GutierrezSource :
- European Journal of Pediatric Surgery Reports [ 2194-7619 ] ; 2017.
Abstract
Url:
DOI: 10.1055/s-0037-1606282
PubMed: 28868232
PubMed Central: 5578817
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Penile Reconstruction with Skin Grafts and Dermal Matrices: Indications and Management</title><author><name sortKey="Triana Junco, Paloma" sort="Triana Junco, Paloma" uniqKey="Triana Junco P" first="Paloma" last="Triana Junco">Paloma Triana Junco</name><affiliation><nlm:aff id="AF170346cr-1"><institution>Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain</institution></nlm:aff></affiliation></author><author><name sortKey="Dore, Mariela" sort="Dore, Mariela" uniqKey="Dore M" first="Mariela" last="Dore">Mariela Dore</name><affiliation><nlm:aff id="AF170346cr-1"><institution>Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain</institution></nlm:aff></affiliation></author><author><name sortKey="Nu Ez Cerezo, Vanesa" sort="Nu Ez Cerezo, Vanesa" uniqKey="Nu Ez Cerezo V" first="Vanesa" last="Nu Ez Cerezo">Vanesa Nu Ez Cerezo</name><affiliation><nlm:aff id="AF170346cr-2"><institution>Department of Pediatric Surgery, Hospital La Paz, Madrid, Spain</institution></nlm:aff></affiliation></author><author><name sortKey="Jimenez Gomez, Javier" sort="Jimenez Gomez, Javier" uniqKey="Jimenez Gomez J" first="Javier" last="Jimenez Gomez">Javier Jimenez Gomez</name><affiliation><nlm:aff id="AF170346cr-1"><institution>Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain</institution></nlm:aff></affiliation></author><author><name sortKey="Miguel Ferrero, Miriam" sort="Miguel Ferrero, Miriam" uniqKey="Miguel Ferrero M" first="Miriam" last="Miguel Ferrero">Miriam Miguel Ferrero</name><affiliation><nlm:aff id="AF170346cr-2"><institution>Department of Pediatric Surgery, Hospital La Paz, Madrid, Spain</institution></nlm:aff></affiliation></author><author><name sortKey="Diaz Gonzalez, Mercedes" sort="Diaz Gonzalez, Mercedes" uniqKey="Diaz Gonzalez M" first="Mercedes" last="Díaz González">Mercedes Díaz González</name><affiliation><nlm:aff id="AF170346cr-2"><institution>Department of Pediatric Surgery, Hospital La Paz, Madrid, Spain</institution></nlm:aff></affiliation></author><author><name sortKey="Lopez Pereira, Pedro" sort="Lopez Pereira, Pedro" uniqKey="Lopez Pereira P" first="Pedro" last="Lopez-Pereira">Pedro Lopez-Pereira</name><affiliation><nlm:aff id="AF170346cr-3"><institution>Department of Pediatric Urology, Hospital Universitario La Paz, Madrid, Spain</institution></nlm:aff></affiliation></author><author><name sortKey="Lopez Gutierrez, Juan Carlos" sort="Lopez Gutierrez, Juan Carlos" uniqKey="Lopez Gutierrez J" first="Juan Carlos" last="Lopez-Gutierrez">Juan Carlos Lopez-Gutierrez</name><affiliation><nlm:aff id="AF170346cr-4"><institution>Department of Pediatric Surgery, Division of Vascular Anomalies, La Paz Children's Hospital, Madrid, Spain</institution></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28868232</idno><idno type="pmc">5578817</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5578817</idno><idno type="RBID">PMC:5578817</idno><idno type="doi">10.1055/s-0037-1606282</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">000007</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000007</idno><idno type="wicri:Area/Pmc/Curation">000007</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000007</idno><idno type="wicri:Area/Pmc/Checkpoint">000150</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000150</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Penile Reconstruction with Skin Grafts and Dermal Matrices: Indications and Management</title><author><name sortKey="Triana Junco, Paloma" sort="Triana Junco, Paloma" uniqKey="Triana Junco P" first="Paloma" last="Triana Junco">Paloma Triana Junco</name><affiliation><nlm:aff id="AF170346cr-1"><institution>Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain</institution></nlm:aff></affiliation></author><author><name sortKey="Dore, Mariela" sort="Dore, Mariela" uniqKey="Dore M" first="Mariela" last="Dore">Mariela Dore</name><affiliation><nlm:aff id="AF170346cr-1"><institution>Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain</institution></nlm:aff></affiliation></author><author><name sortKey="Nu Ez Cerezo, Vanesa" sort="Nu Ez Cerezo, Vanesa" uniqKey="Nu Ez Cerezo V" first="Vanesa" last="Nu Ez Cerezo">Vanesa Nu Ez Cerezo</name><affiliation><nlm:aff id="AF170346cr-2"><institution>Department of Pediatric Surgery, Hospital La Paz, Madrid, Spain</institution></nlm:aff></affiliation></author><author><name sortKey="Jimenez Gomez, Javier" sort="Jimenez Gomez, Javier" uniqKey="Jimenez Gomez J" first="Javier" last="Jimenez Gomez">Javier Jimenez Gomez</name><affiliation><nlm:aff id="AF170346cr-1"><institution>Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain</institution></nlm:aff></affiliation></author><author><name sortKey="Miguel Ferrero, Miriam" sort="Miguel Ferrero, Miriam" uniqKey="Miguel Ferrero M" first="Miriam" last="Miguel Ferrero">Miriam Miguel Ferrero</name><affiliation><nlm:aff id="AF170346cr-2"><institution>Department of Pediatric Surgery, Hospital La Paz, Madrid, Spain</institution></nlm:aff></affiliation></author><author><name sortKey="Diaz Gonzalez, Mercedes" sort="Diaz Gonzalez, Mercedes" uniqKey="Diaz Gonzalez M" first="Mercedes" last="Díaz González">Mercedes Díaz González</name><affiliation><nlm:aff id="AF170346cr-2"><institution>Department of Pediatric Surgery, Hospital La Paz, Madrid, Spain</institution></nlm:aff></affiliation></author><author><name sortKey="Lopez Pereira, Pedro" sort="Lopez Pereira, Pedro" uniqKey="Lopez Pereira P" first="Pedro" last="Lopez-Pereira">Pedro Lopez-Pereira</name><affiliation><nlm:aff id="AF170346cr-3"><institution>Department of Pediatric Urology, Hospital Universitario La Paz, Madrid, Spain</institution></nlm:aff></affiliation></author><author><name sortKey="Lopez Gutierrez, Juan Carlos" sort="Lopez Gutierrez, Juan Carlos" uniqKey="Lopez Gutierrez J" first="Juan Carlos" last="Lopez-Gutierrez">Juan Carlos Lopez-Gutierrez</name><affiliation><nlm:aff id="AF170346cr-4"><institution>Department of Pediatric Surgery, Division of Vascular Anomalies, La Paz Children's Hospital, Madrid, Spain</institution></nlm:aff></affiliation></author></analytic><series><title level="j">European Journal of Pediatric Surgery Reports</title><idno type="ISSN">2194-7619</idno><idno type="eISSN">2194-7627</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><bold>Introduction</bold> The penis eventually needs specific cutaneous coverage in the context of reconstructive procedures following trauma or congenital anomalies. Local flaps are the first choice but are not always available after multiple previous procedures. In these cases, skin graft and dermal matrices should be considered.
</p><p><bold>Materials and Methods</bold> This study was a retrospective review of the past 4 years of four patients with severe loss of penile shaft skin who underwent skin reconstruction. Dermal matrices and skin grafts were utilized. Dermal matrices were placed for a median of 4.5 weeks (3.0–6.0 weeks). The skin graft was harvested from the inner thigh region for split-thickness skin graft (STSG) and the inguinal region for full-thickness skin graft (FTSG).
</p><p><bold>Results</bold> The four patients presented with complete loss of skin in the penile shaft. One patient had a vesical exstrophy, one had a buried penis with only one corpus cavernosum, one had a wide congenital lymphedema of the genitalia, and one had a lack of skin following circumcision at home. They underwent reconstruction with three patients undergoing split-thickness skin graft; two dermal matrices; and one full-thickness graft, respectively, thereby achieving a good cosmetic and functional result. There were no complications, and all the patients successfully accepted the graft.
</p><p><bold>Conclusion</bold> Dermal matrices and skin grafts may serve as effective tools in the management of severe penile skin defects unable to be covered with local flaps.
</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="White, N" uniqKey="White N">N White</name></author><author><name sortKey="Hettiaratchy, S" uniqKey="Hettiaratchy S">S Hettiaratchy</name></author><author><name sortKey="Papini, R P" uniqKey="Papini R">R P Papini</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Thakar, H J" uniqKey="Thakar H">H J Thakar</name></author><author><name sortKey="Dugi, D D" uniqKey="Dugi D">D D Dugi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alwaal, A" uniqKey="Alwaal A">A Alwaal</name></author><author><name sortKey="Mcaninch, J W" uniqKey="Mcaninch J">J W McAninch</name></author><author><name sortKey="Harris, C R" uniqKey="Harris C">C R Harris</name></author><author><name sortKey="Breyer, B N" uniqKey="Breyer B">B N Breyer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Thompson, J H" uniqKey="Thompson J">J H Thompson</name></author><author><name sortKey="Zmaj, P" uniqKey="Zmaj P">P Zmaj</name></author><author><name sortKey="Cummings, J M" uniqKey="Cummings J">J M Cummings</name></author><author><name sortKey="Steinhardt, G F" uniqKey="Steinhardt G">G F Steinhardt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Asimakopoulos, A D" uniqKey="Asimakopoulos A">A D Asimakopoulos</name></author><author><name sortKey="Iorio, B" uniqKey="Iorio B">B Iorio</name></author><author><name sortKey="Vespasiani, G" uniqKey="Vespasiani G">G Vespasiani</name></author><author><name sortKey="Cervelli, V" uniqKey="Cervelli V">V Cervelli</name></author><author><name sortKey="Spera, E" uniqKey="Spera E">E Spera</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gillett, M D" uniqKey="Gillett M">M D Gillett</name></author><author><name sortKey="Rathbun, S R" uniqKey="Rathbun S">S R Rathbun</name></author><author><name sortKey="Husmann, D A" uniqKey="Husmann D">D A Husmann</name></author><author><name sortKey="Clay, R P" uniqKey="Clay R">R P Clay</name></author><author><name sortKey="Kramer, S A" uniqKey="Kramer S">S A Kramer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chertin, B" uniqKey="Chertin B">B Chertin</name></author><author><name sortKey="Kocherov, S" uniqKey="Kocherov S">S Kocherov</name></author><author><name sortKey="Binenboym, R" uniqKey="Binenboym R">R Binenboym</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Diaz, E C" uniqKey="Diaz E">E C Díaz</name></author><author><name sortKey="Corcoran, J F" uniqKey="Corcoran J">J F Corcoran</name></author><author><name sortKey="Johnson, E K" uniqKey="Johnson E">E K Johnson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alei, G" uniqKey="Alei G">G Alei</name></author><author><name sortKey="Letizia, P" uniqKey="Letizia P">P Letizia</name></author><author><name sortKey="Ricottilli, F" uniqKey="Ricottilli F">F Ricottilli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ludolph, I" uniqKey="Ludolph I">I Ludolph</name></author><author><name sortKey="Titel, T" uniqKey="Titel T">T Titel</name></author><author><name sortKey="Beier, J P" uniqKey="Beier J">J P Beier</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zhang, Z" uniqKey="Zhang Z">Z Zhang</name></author><author><name sortKey="Lv, L" uniqKey="Lv L">L Lv</name></author><author><name sortKey="Mamat, M" uniqKey="Mamat M">M Mamat</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">European J Pediatr Surg Rep</journal-id><journal-id journal-id-type="iso-abbrev">European J Pediatr Surg Rep</journal-id><journal-id journal-id-type="doi">10.1055/s-00024358</journal-id><journal-title-group><journal-title>European Journal of Pediatric Surgery Reports</journal-title></journal-title-group><issn pub-type="ppub">2194-7619</issn><issn pub-type="epub">2194-7627</issn><publisher><publisher-name>Georg Thieme Verlag KG</publisher-name><publisher-loc>Stuttgart · New York</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28868232</article-id><article-id pub-id-type="pmc">5578817</article-id><article-id pub-id-type="doi">10.1055/s-0037-1606282</article-id><article-id pub-id-type="publisher-id">170346cr</article-id><article-categories><subj-group><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Penile Reconstruction with Skin Grafts and Dermal Matrices: Indications and Management</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Triana Junco</surname><given-names>Paloma</given-names></name><xref rid="AF170346cr-1" ref-type="aff">1</xref><xref rid="CO170346cr-1" ref-type="author-notes"></xref></contrib><contrib contrib-type="author"><name><surname>Dore</surname><given-names>Mariela</given-names></name><xref rid="AF170346cr-1" ref-type="aff">1</xref></contrib><contrib contrib-type="author"><name><surname>Nuñez Cerezo</surname><given-names>Vanesa</given-names></name><xref rid="AF170346cr-2" ref-type="aff">2</xref></contrib><contrib contrib-type="author"><name><surname>Jimenez Gomez</surname><given-names>Javier</given-names></name><xref rid="AF170346cr-1" ref-type="aff">1</xref></contrib><contrib contrib-type="author"><name><surname>Miguel Ferrero</surname><given-names>Miriam</given-names></name><xref rid="AF170346cr-2" ref-type="aff">2</xref></contrib><contrib contrib-type="author"><name><surname>Díaz González</surname><given-names>Mercedes</given-names></name><xref rid="AF170346cr-2" ref-type="aff">2</xref></contrib><contrib contrib-type="author"><name><surname>Lopez-Pereira</surname><given-names>Pedro</given-names></name><xref rid="AF170346cr-3" ref-type="aff">3</xref></contrib><contrib contrib-type="author"><name><surname>Lopez-Gutierrez</surname><given-names>Juan Carlos</given-names></name><xref rid="AF170346cr-4" ref-type="aff">4</xref></contrib></contrib-group><aff id="AF170346cr-1"><label>1</label><institution>Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain</institution></aff><aff id="AF170346cr-2"><label>2</label><institution>Department of Pediatric Surgery, Hospital La Paz, Madrid, Spain</institution></aff><aff id="AF170346cr-3"><label>3</label><institution>Department of Pediatric Urology, Hospital Universitario La Paz, Madrid, Spain</institution></aff><aff id="AF170346cr-4"><label>4</label><institution>Department of Pediatric Surgery, Division of Vascular Anomalies, La Paz Children's Hospital, Madrid, Spain</institution></aff><author-notes><corresp id="CO170346cr-1"><bold>Address for correspondence </bold>Paloma Triana Junco, MD <institution>Department of Pediatric Surgery, Hospital Universitario La Paz</institution><addr-line>Paseo de la Castellana 261, Madrid 28046</addr-line><country>Spain</country><email>pa_triana@hotmail.com</email></corresp></author-notes><pub-date pub-type="ppub"><month>1</month><year>2017</year></pub-date><pub-date pub-type="epub"><day>31</day><month>8</month><year>2017</year></pub-date><volume>5</volume><issue>1</issue><fpage>e47</fpage><lpage>e50</lpage><history><date date-type="received"><day>11</day><month>6</month><year>2017</year></date><date date-type="accepted"><day>16</day><month>7</month><year>2017</year></date></history><permissions><copyright-statement>© Thieme Medical Publishers</copyright-statement></permissions><abstract><p><bold>Introduction</bold> The penis eventually needs specific cutaneous coverage in the context of reconstructive procedures following trauma or congenital anomalies. Local flaps are the first choice but are not always available after multiple previous procedures. In these cases, skin graft and dermal matrices should be considered.
</p><p><bold>Materials and Methods</bold> This study was a retrospective review of the past 4 years of four patients with severe loss of penile shaft skin who underwent skin reconstruction. Dermal matrices and skin grafts were utilized. Dermal matrices were placed for a median of 4.5 weeks (3.0–6.0 weeks). The skin graft was harvested from the inner thigh region for split-thickness skin graft (STSG) and the inguinal region for full-thickness skin graft (FTSG).
</p><p><bold>Results</bold> The four patients presented with complete loss of skin in the penile shaft. One patient had a vesical exstrophy, one had a buried penis with only one corpus cavernosum, one had a wide congenital lymphedema of the genitalia, and one had a lack of skin following circumcision at home. They underwent reconstruction with three patients undergoing split-thickness skin graft; two dermal matrices; and one full-thickness graft, respectively, thereby achieving a good cosmetic and functional result. There were no complications, and all the patients successfully accepted the graft.
</p><p><bold>Conclusion</bold> Dermal matrices and skin grafts may serve as effective tools in the management of severe penile skin defects unable to be covered with local flaps.
</p></abstract><kwd-group><title>Keywords</title><kwd>penile reconstruction</kwd><kwd>skin grafts</kwd><kwd>dermal matrices</kwd><kwd>pediatric</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Diaz Gonzalez, Mercedes" sort="Diaz Gonzalez, Mercedes" uniqKey="Diaz Gonzalez M" first="Mercedes" last="Díaz González">Mercedes Díaz González</name><name sortKey="Dore, Mariela" sort="Dore, Mariela" uniqKey="Dore M" first="Mariela" last="Dore">Mariela Dore</name><name sortKey="Jimenez Gomez, Javier" sort="Jimenez Gomez, Javier" uniqKey="Jimenez Gomez J" first="Javier" last="Jimenez Gomez">Javier Jimenez Gomez</name><name sortKey="Lopez Gutierrez, Juan Carlos" sort="Lopez Gutierrez, Juan Carlos" uniqKey="Lopez Gutierrez J" first="Juan Carlos" last="Lopez-Gutierrez">Juan Carlos Lopez-Gutierrez</name><name sortKey="Lopez Pereira, Pedro" sort="Lopez Pereira, Pedro" uniqKey="Lopez Pereira P" first="Pedro" last="Lopez-Pereira">Pedro Lopez-Pereira</name><name sortKey="Miguel Ferrero, Miriam" sort="Miguel Ferrero, Miriam" uniqKey="Miguel Ferrero M" first="Miriam" last="Miguel Ferrero">Miriam Miguel Ferrero</name><name sortKey="Nu Ez Cerezo, Vanesa" sort="Nu Ez Cerezo, Vanesa" uniqKey="Nu Ez Cerezo V" first="Vanesa" last="Nu Ez Cerezo">Vanesa Nu Ez Cerezo</name><name sortKey="Triana Junco, Paloma" sort="Triana Junco, Paloma" uniqKey="Triana Junco P" first="Paloma" last="Triana Junco">Paloma Triana Junco</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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