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Use of the rectus abdominis myocutaneous flap in treating advanced carcinomas of the penis
Author(s) -
Thomas J.A.,
Matanhelia S.S.,
Dickson W.A.,
Rees R.W.M.,
Matthews P.N.
Publication year - 1995
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1995.tb07314.x
Subject(s) - medicine , surgery , scrotum , penis , rectus abdominis muscle , wound closure , wound healing
Objective To examine the methods used to obtain skin closure after radical surgery for carcinomas of the penis, with special reference to the rectus abdominis myocutaneous flap. Patients and methods Over a 20 year period, 21 patients underwent surgery for carcinomas of the penis. Seven had advanced tumours, requiring radical surgery for complete local tumour control. The resulting wounds were repaired with scrotal skin transfer in three patients and with a rectus abdominis myocutaneous flap in the other four. Results These methods of repair were a 100% reliable, all wounds being healed within 10 days. Conclusions Scrotal skin transfer is a simple and effective method of achieving wound closure. Where removal of the scrotum is required along with curative or palliative surgery, and after ilio‐inguinal lympha‐denectomy, a rectus abdominis myocutaneous flap is useful for skin closure.