PREOPERATIVE PHALLOPLASTY PLANNING ACCORDING TO COMPUTED TOMOGRAPHY DATA | Issues of reconstructive and plastic surgery. 2019. № 3 (70). DOI: 10.17223/1814147/70/02

PREOPERATIVE PHALLOPLASTY PLANNING ACCORDING TO COMPUTED TOMOGRAPHY DATA

Objective: to study the possibilities and advantages of computed tomography in the surgical treatment planning in patients with microsurgical reconstruction of the urogenital area. Material and methods. 44 patients with diseases such as: transsexualism, microfallia, hypospadias, epispadias, post-traumatic injuries of the urogenital area were examined using computed tomography, as part of the pre- and postoperative examination. All patients underwent phalloplasty with free revascularized and reinnervatedt horacodorsal allograft. Results. All patients, taking into account the peculiarities of the urogenital area pathology and individual anatomy including vascular underwent planning and successfully implemented phalloplasty. Conclusion In clinical studies, it was proved that computed tomography is the most accurate method for assessing of the flaps state and their vascular anatomy and it should be based method of preoperative patients examination before allotransplantation.

Download file

Counter downloads: 37

Keywords

Мультиспиральнаякомпьютерная томография, фаллопластика, уретропластика, стриктура уретры, облитерация уретры, лоскут, multispiral computed tomography, phalloplasty, urethroplasty, urethral stricture, obliteration of the urethra, flap

Authors

Name	Organization	E-mail
Istranov A.L.	I.M. Sechenov First Moscow State Medical University (Sechenov University)	plasticsurgeon@yandex.ru
Shchekoturov I.O.	I.M. Sechenov First Moscow State Medical University (Sechenov University)	samaramail@bk.ru
Bakhtiosin R.F.	I.M. Sechenov First Moscow State Medical University (Sechenov University)	rbakhtiozin@yahoo.com
Mkhitaryan O.A.	I.M. Sechenov First Moscow State Medical University (Sechenov University)	samaramail@bk.ru
Ibregimova M.R.	I.M. Sechenov First Moscow State Medical University (Sechenov University)	samaramail@bk.ru

Всего: 5

References

Алиев С.А., Алиев Э.С., Зейналов Б.М. Гангрена Фурнье в свете современных представлений. Хирургия. 2014;(4):34-39

Babaei A., Safarinejad M.R., Farrokhi F., Iran-Pour E. Penile Reconstruction. Evaluation of the Most Accepted Techniques. Urol J. 2010;7:71-78.

Djordjevic M.L., Bizic M.R., Martins F.,Kojovic V.,Krstic Z. Treatment of Failed Epispadias Repair Presenting in Adults. J.Urol. 2013. Jul.;190(1):165-170.

Parkash S., Ananthakrishnan N., Roy P. Refashioning of phallus stumps and phalloplasty in the treatment of carcinoma of the penis. Br. J. Surg. 1986. Nov.;73(11):902-905.

Perovic S., Djordjevic M. A new approach in hypospadias repair. World J. Urol. 1998;16(3):195-199.

Крылов В.С. Микрохирургия в России. М.: ГЭОТАР-Медиа, 2005:391 с.

Миланов Н.О., Адамян Р.Т., Карибеков Т.С. Аутотрансплантация реваскуляризированных тканей в пластической хирургии урогенитальной области. М.: АирАрт, 2007:152 с.

Krag C., Hesselfeldt-Nielsen J., Gothgen I. Late patency of clinical microvascular anastomoses to free composite tissue transplants. Hemodynamical aspects. Scand. J. Plast. Reconstr. Surg. 1985;19(1):73-79.

Schaff J., Papadopulos N.A. A new protocol for complete phalloplasty with free sensate and prelaminated osteofasciocutaneous flaps: experience in 37 patients. Microsurgery. 2009;29(5):413-419.

Hamdi M., Van Landuyt K., Monstrey S., Blondeel P. Pedicled perforator flaps in breast reconstruction: a new concept. Br J Plast Surg. 2004;57: 531-9. doi: https:// doi. org/ 10. 1016/j. bjps.2004. 04. 015

Bank J., Ledbetter K., Song D.H. Use of thoracodorsal artery perforator flaps to enhance outcomes in alloplasticbreast reconstruction. Plast Reconstr Surg Glob Open. 2014; 2: e140. doi: https:// doi. org/ 10. 1097/ GOX. 0000000000000085

Lugo-Fagundo C., Ahn H., O’Brien-Coon D., Fishman E. The role of cinematic rendering in pre-operative planning of a thoracodorsal artery perforator flap (TDAP) phalloplasty: a case study. BJR Case Rep. 2018;4:20180084.

Eid M., De Cecco C.N., Nance J.W., Caruso D., Albrecht M.H., Spandorfer A.J. et al. Cinematic rendering in CT: a novel, lifelike 3D visualization technique. AJR Am J Roentgenol. 2017;209:370-9. doi: https:// doi. org/10. 2214/ AJR. 17. 17850

Alonso-Burgos A., Garcнa-Tutor E., Bastarrika G., Cano D., Martнnez-Cuesta A., Pina L.J. Preoperative planning of deep inferior epigastric artery perforator flap reconstruction with multislice-CT angiography: imaging findings and initial experience. J Plast Reconstr Aesthet Surg. 2006;59:585-93. doi: https:// doi. org/ 10.1016/ j. bjps. 2005. 12. 011

Colohan S., Wong C., Lakhiani C., Cheng A., Maia M., Arbique G., Saint-Cyr M. The Free Descending Branch Muscle-Sparing Latissimus Dorsi Flap. Plastic and Reconstructive Surgery. 2012;130(6):776e-787e.

Истранов А.Л., Старцева О.И., Гуляев И.В., Адамян Р.Т. Анналы пластической, реконструктивной и эстетической хирургии. 2012; 2: 70-76.

Moon H.K., Taylor G.I. The vascular anatomy of rectus abdominus musculocutaneous flaps based on the deep superior epigastric system. Plast Reconstr Surg. 1988;82:815-832.

Tregaskiss A.P., Goodwin A.N., Acland R.D. The cutaneous arteries of the anterior abdominal wall: a threedimensional study. PlastReconstr Surg. 2007;120:442-450.

Boyd J.B., Taylor G.I., Corlett R.The vascular territories of the superior epigastric and the deep inferior epigastric systems. Plast Reconstr Surg. 1984;73:1-16.