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Late salvage of a ”︁free flap„ phalloplasty: A case report
Author(s) -
Noordanus Robert P.,
Joris Hage J.
Publication year - 1993
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.1920140911
Subject(s) - medicine , phalloplasty , surgery , free flap , ischemia , perfusion , angiography , forearm , vein , radiology , penis , cardiology
Three weeks after radial forearm free flap phalloplasty, a 28‐year‐old female‐to‐male transsexual presented with ischaemia of the neophallus. A salvage procedure was started 7 hours after onset of ischemia. Thrombectomy of the arterial pedicle did not result in venous return of the arterial inflow. Perfusion of the flap with streptokinase restored venous return. Flap perfusion was confirmed by intraoperative direct angiography of the neophallus. Six months after this salvage procedure, the flap is doing well and tactile sensibility has occurred. © 1993 Wiley‐Liss Inc.