Full-thickness abdominal skin graft for long-segment urethral stricture reconstruction

Meeks, Joshua J.; Erickson, Beth; Gonzalez, Chris M.

doi:10.1590/s1677-55382008000500009

Cited by 7 publications

(3 citation statements)

References 6 publications

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“…There are three main steps necessary for successful reconstruction with a graft: preparation of the recipient site for the graft, harvest of the graft and placement of the graft at the recipient site. Depending on the cause of the defect, the recipient site may need debridement of necrotic tissue or excision of fibrosis or other abnormalities before it is ready to receive the graft [ 9 10 ]. Harvest of the graft can be performed at the same time as the preparation of the recipient site.…”

Section: Graftsmentioning

confidence: 99%

“…Additionally, during harvesting of a FTSG, it is important to remove any subcutaneous fat from the graft to increase likelihood of graft take [ 9 17 18 ]. There are various areas from which a FTSG can be harvested safely and used in reconstructive urology with good outcomes, including hairless areas of the abdominal wall or inguinal region [ 10 18 19 20 ], postauricular skin [ 21 ] and the prepuce [ 22 ].…”

Section: Graftsmentioning

confidence: 99%

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Tissue transfer techniques in reconstructive urology

2015

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Tissue transfer techniques are an essential part of the reconstructive urologist's armamentarium. Flaps and graft techniques are widely used in genital and urethral reconstruction. A graft is tissue that is moved from a donor site to a recipient site without its native blood supply. The main types of grafts used in urology are full thickness grafts, split thickness skin grafts and buccal mucosa grafts. Flaps are transferred from the donor site to the recipient site on a pedicle containing its native blood supply. Flaps can be classified based on blood supply, elevation methods or the method of transfer. The most used flaps in urology include penile, preputial, and scrotal skin. We review the various techniques used in reconstructive urology and the outcomes of these techniques.

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Section: Graftsmentioning

confidence: 99%

Section: Graftsmentioning

confidence: 99%

Tissue transfer techniques in reconstructive urology

2015

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“…Previously, when FTSG was performed using the abdomen as the donor site, all of the subcutaneous fat was commonly removed to prevent the herniated fat from hindering the skin close to the donor site 18 . However, except in the case of a few obese patients with high amounts of abdominal fat, fat retention did not affect the immediate closure of the donor site skin.…”

Section: Discussionmentioning

confidence: 99%

A comparative study of full‐thickness skin grafting with and without subcutaneous fat preservation

Liu

Song

2022

International Wound Journal

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Skin grafting is an important method of wound repair and reconstruction. Skin grafting can be classified using multiple classification criteria. We often perform full‐thickness skin grafting (FTSG) for small wound areas; however, the traditional FTSG technique frequently causes postoperative scar depression at the donor site, especially in the abdomen. This study aimed to determine whether preserving the subcutaneous fat when performing FTSG can improve donor site prognosis. We reviewed 25 patients who underwent autologous FTSG in the last 3 years. Among them, subcutaneous fat was preserved in 11 patients (experimental group), whereas it was not preserved in 14 patients (control group). Using a 3D camera and the Patient and Observer Scar Assessment Scale (POSAS), we evaluated the donor site postoperatively. According to POSAS, vascularization was significantly more severe in the experimental group. The Antera 3D camera revealed more severe scar depression at the donor site in the control group. The processing time for graft take, subcutaneous fat trimming and donor site closure was less in the experimental group than in the control group. Preserving subcutaneous fat at the donor site improved patient outcomes by reducing donor site depression after FTSG.

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Staged Urethroplasty

McClung¹,

Wessells²

2013

Advanced Male Urethral and Genital Reconstructive Surgery

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SummaryStaged urethroplasties are characterized by a planned repair involving more than one surgery to fi x a urethral stricture, obliteration, diverticulum, fi stula, or combination of the above. Common indications for a staged urethroplasty included failed hypospadias surgery, multiple prior urethroplasty failures, and strictures associated with lichen sclerosus. Because excision and primary anastomosis has a signifi cant potential to produce postoperative chordee, staged procedures are more commonly used in the penile urethra relative to the bulbar urethra. Free tissue transfer is inherent to staged urethroplasties; common donor sources include buccal mucosa and split thickness skin. Preservation of the native urethral plate in selected cases allows maximization of donor graft with limited availability. A technical description of the staged urethroplasty is followed by a review of published success rates, which range from 73 to 100 %. Common complications of a staged repair include need for additional revisional surgery, fi stula, postoperative curvature, and recurrent stricture.

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Full-thickness abdominal skin graft for long-segment urethral stricture reconstruction

Cited by 7 publications

References 6 publications

Tissue transfer techniques in reconstructive urology

Tissue transfer techniques in reconstructive urology

A comparative study of full‐thickness skin grafting with and without subcutaneous fat preservation

Staged Urethroplasty

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