Meshed unexpanded split-thickness skin grafting for reconstruction of penile skin loss.
Identifieur interne : 003A76 ( PubMed/Checkpoint ); précédent : 003A75; suivant : 003A77Meshed unexpanded split-thickness skin grafting for reconstruction of penile skin loss.
Auteurs : Peter C. Black [États-Unis] ; Jeffrey B. Friedrich ; Loren H. Engrav ; Hunter WessellsSource :
- The Journal of urology [ 0022-5347 ] ; 2004.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- methods : Reconstructive Surgical Procedures, Skin Transplantation.
- surgery : Penis.
- Adult, Aged, Graft Survival, Humans, Male, Middle Aged, Patient Satisfaction, Postoperative Complications.
Abstract
Sheets of unmeshed, split-thickness skin grafts (STSGs) have been advocated in potent men with penile skin deficiency. Since the survival of sheet grafts is rarely 100% and the appearance of unexpanded 1:1 mesh grafts is quite good, we used this technique. We report our experience with meshed, unexpanded STSGs for all penile resurfacing regardless of erectile function.
DOI: 10.1097/01.ju.0000133972.65501.44
PubMed: 15311016
Affiliations:
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Friedrich</name></author><author><name sortKey="Engrav, Loren H" sort="Engrav, Loren H" uniqKey="Engrav L" first="Loren H" last="Engrav">Loren H. Engrav</name></author><author><name sortKey="Wessells, Hunter" sort="Wessells, Hunter" uniqKey="Wessells H" first="Hunter" last="Wessells">Hunter Wessells</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2004">2004</date><idno type="RBID">pubmed:15311016</idno><idno type="pmid">15311016</idno><idno type="doi">10.1097/01.ju.0000133972.65501.44</idno><idno type="wicri:Area/PubMed/Corpus">003F30</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003F30</idno><idno type="wicri:Area/PubMed/Curation">003F30</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003F30</idno><idno type="wicri:Area/PubMed/Checkpoint">003F30</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003F30</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Meshed unexpanded split-thickness skin grafting for reconstruction of penile skin loss.</title><author><name sortKey="Black, Peter C" sort="Black, Peter C" uniqKey="Black P" first="Peter C" last="Black">Peter C. Black</name><affiliation wicri:level="2"><nlm:affiliation>Department of Urology, Harborview Medical Center and University of Washington School of Medicine, 325 Ninth Avenue, Seattle, WA 98104, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, Harborview Medical Center and University of Washington School of Medicine, 325 Ninth Avenue, Seattle, WA 98104</wicri:regionArea><placeName><region type="state">Washington (État)</region></placeName></affiliation></author><author><name sortKey="Friedrich, Jeffrey B" sort="Friedrich, Jeffrey B" uniqKey="Friedrich J" first="Jeffrey B" last="Friedrich">Jeffrey B. Friedrich</name></author><author><name sortKey="Engrav, Loren H" sort="Engrav, Loren H" uniqKey="Engrav L" first="Loren H" last="Engrav">Loren H. Engrav</name></author><author><name sortKey="Wessells, Hunter" sort="Wessells, Hunter" uniqKey="Wessells H" first="Hunter" last="Wessells">Hunter Wessells</name></author></analytic><series><title level="j">The Journal of urology</title><idno type="ISSN">0022-5347</idno><imprint><date when="2004" type="published">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Graft Survival</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Satisfaction</term><term>Penis (surgery)</term><term>Postoperative Complications</term><term>Reconstructive Surgical Procedures (methods)</term><term>Skin Transplantation (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Complications postopératoires</term><term>Humains</term><term>Mâle</term><term>Procédures de chirurgie reconstructive ()</term><term>Pénis ()</term><term>Satisfaction du patient</term><term>Sujet âgé</term><term>Survie du greffon</term><term>Transplantation de peau ()</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Reconstructive Surgical Procedures</term><term>Skin Transplantation</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Penis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Graft Survival</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Satisfaction</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Complications postopératoires</term><term>Humains</term><term>Mâle</term><term>Procédures de chirurgie reconstructive</term><term>Pénis</term><term>Satisfaction du patient</term><term>Sujet âgé</term><term>Survie du greffon</term><term>Transplantation de peau</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Sheets of unmeshed, split-thickness skin grafts (STSGs) have been advocated in potent men with penile skin deficiency. Since the survival of sheet grafts is rarely 100% and the appearance of unexpanded 1:1 mesh grafts is quite good, we used this technique. We report our experience with meshed, unexpanded STSGs for all penile resurfacing regardless of erectile function.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15311016</PMID><DateCreated><Year>2004</Year><Month>08</Month><Day>16</Day></DateCreated><DateCompleted><Year>2004</Year><Month>09</Month><Day>03</Day></DateCompleted><DateRevised><Year>2004</Year><Month>11</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0022-5347</ISSN><JournalIssue CitedMedium="Print"><Volume>172</Volume><Issue>3</Issue><PubDate><Year>2004</Year><Month>Sep</Month></PubDate></JournalIssue><Title>The Journal of urology</Title><ISOAbbreviation>J. Urol.</ISOAbbreviation></Journal><ArticleTitle>Meshed unexpanded split-thickness skin grafting for reconstruction of penile skin loss.</ArticleTitle><Pagination><MedlinePgn>976-9</MedlinePgn></Pagination><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Sheets of unmeshed, split-thickness skin grafts (STSGs) have been advocated in potent men with penile skin deficiency. Since the survival of sheet grafts is rarely 100% and the appearance of unexpanded 1:1 mesh grafts is quite good, we used this technique. We report our experience with meshed, unexpanded STSGs for all penile resurfacing regardless of erectile function.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Nine consecutive patients with penile skin loss were prospectively treated between March 2001 and January 2003 with meshed STSGs to the penis. The underlying condition was Fournier's gangrene in 4 cases, chronic lymphedema in 2, skin deficiency from prior surgeries in 2 and Crohn's disease in 1. Graft thickness was 0.012 or 0.016 inches and meshing was performed in a 1:1 ratio. Meshed slits were oriented transversely without expansion and the graft juncture was located on the ventral surface in zigzag fashion. Graft take, appearance, and sexual and voiding function were assessed postoperatively.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">All 9 patients had 100% graft take. At a mean followup of 6 months a satisfactory cosmetic outcome was documented photographically in all except 1 case involving chronic penile manipulation. Erectile function and ejaculation were preserved in potent patients.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Unexpanded meshed STSGs of penile skin loss yielded satisfactory functional and cosmetic outcomes.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Black</LastName><ForeName>Peter C</ForeName><Initials>PC</Initials><AffiliationInfo><Affiliation>Department of Urology, Harborview Medical Center and University of Washington School of Medicine, 325 Ninth Avenue, Seattle, WA 98104, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Friedrich</LastName><ForeName>Jeffrey B</ForeName><Initials>JB</Initials></Author><Author ValidYN="Y"><LastName>Engrav</LastName><ForeName>Loren H</ForeName><Initials>LH</Initials></Author><Author ValidYN="Y"><LastName>Wessells</LastName><ForeName>Hunter</ForeName><Initials>H</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Urol</MedlineTA><NlmUniqueID>0376374</NlmUniqueID><ISSNLinking>0022-5347</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006085" MajorTopicYN="N">Graft Survival</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017060" MajorTopicYN="N">Patient Satisfaction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010413" MajorTopicYN="N">Penis</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019651" MajorTopicYN="N">Reconstructive Surgical Procedures</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016038" MajorTopicYN="N">Skin Transplantation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2004</Year><Month>8</Month><Day>18</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2004</Year><Month>9</Month><Day>4</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2004</Year><Month>8</Month><Day>18</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">15311016</ArticleId><ArticleId IdType="pii">S0022-5347(05)61540-6</ArticleId><ArticleId IdType="doi">10.1097/01.ju.0000133972.65501.44</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Washington (État)</li></region></list><tree><noCountry><name sortKey="Engrav, Loren H" sort="Engrav, Loren H" uniqKey="Engrav L" first="Loren H" last="Engrav">Loren H. Engrav</name><name sortKey="Friedrich, Jeffrey B" sort="Friedrich, Jeffrey B" uniqKey="Friedrich J" first="Jeffrey B" last="Friedrich">Jeffrey B. Friedrich</name><name sortKey="Wessells, Hunter" sort="Wessells, Hunter" uniqKey="Wessells H" first="Hunter" last="Wessells">Hunter Wessells</name></noCountry><country name="États-Unis"><region name="Washington (État)"><name sortKey="Black, Peter C" sort="Black, Peter C" uniqKey="Black P" first="Peter C" last="Black">Peter C. Black</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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