scholarly journals Retroperitoneal Urinoma Spontaneously Drained in the Scrotum Repaired with Gracilis Muscle Flap: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Emanuela Altobelli ◽  
Alfredo Maria Bove ◽  
Federico Sergi ◽  
Maurizio Buscarini
Keyword(s):  
Case Report ◽  
Spermatic Cord ◽  
Muscle Flap ◽  
Gracilis Muscle ◽  
Unique Case ◽  
Gracilis Muscle Flap

Aim.To report a unique case of retroperitoneal urinoma extending to the scrotum through the spermatic cord and successfully treated with nephrostomy, drainage, and gracilis muscle flap.

scholarly journals Case Report: Use of reinforced buccal mucosa graft over gracilis muscle flap in management of post high intensity focused ultrasound (HIFU) rectourethral fistula

F1000Research ◽  
2017 ◽  
Vol 5 ◽  
pp. 2891 ◽  
Author(s):  
Shrikant Jai ◽  
Arvind Ganpule ◽  
Abhishek Singh ◽  
Mohankumar Vijaykumar ◽  
Vinod Bopaiah ◽  
...  
Keyword(s):  
Case Report ◽  
Buccal Mucosa ◽  
Focused Ultrasound ◽  
Muscle Flap ◽  
Gracilis Muscle ◽  
High Intensity Focused Ultrasound ◽  
Rectourethral Fistula ◽  
Gracilis Muscle Flap ◽  
Buccal Mucosa Graft ◽  
Free Closure

High intensity focused ultrasound (HIFU) has come forward as alternative treatment for carcinoma of the prostate. Though minimally invasive,HIFUhas potential side effects. Urethrorectal fistula is one such rare side effect. Management of these fistulas has been described by Vanni et al. This case report describes points of technique that will help successful management of resilient rectourethral fistula. Urinary and faecal diversion in the form of suprapubic catheter and colostomy is vital. Adequate time between stoma formation, fistula closure and then finally stoma closure is needed. Lithotomy position and perineal approach gives best exposure to the fistula. The rectum should be dissected 2cm above the fistula; this aids in tension free closure of the rectal defect. Similarly buccal mucosal graft was used on the urethra to achieve tension free closure. A good vascular pedicle gracilis muscle flap is used to interpose between the two repairs. This not only provides a physical barrier but also provides a vascular bed for BMG uptake. Perfect haemostasis is essential, as any collection may become a site of infection thus compromising results.  We strongly recommend rectourethral fistula be directly repaired with gracilis muscle flap with reinforced buccal mucosa graft without attempting any less invasive repairs because the “first chance is the best chance”.

scholarly journals Case Report: Use of reinforced buccal mucosa graft over gracilis muscle flap in management of post high intensity focused ultrasound (HIFU) rectourethral fistula

F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 2891
Author(s):  
Shrikant Jai ◽  
Arvind Ganpule ◽  
Abhishek Singh ◽  
Mohankumar Vijaykumar ◽  
Vinod Bopaiah ◽  
...  
Keyword(s):  
Case Report ◽  
Buccal Mucosa ◽  
Focused Ultrasound ◽  
Muscle Flap ◽  
Gracilis Muscle ◽  
High Intensity Focused Ultrasound ◽  
Rectourethral Fistula ◽  
Gracilis Muscle Flap ◽  
Buccal Mucosa Graft ◽  
Free Closure

High intensity focused ultrasound (HIFU) has come forward as alternative treatment for carcinoma of the prostate. Though minimally invasive,HIFUhas potential side effects. Urethrorectal fistula is one such rare side effect. To our knowledge this is first case in which rectourethral fistula secondary to HIFU was repaired with buccal mucosa graft (BMG) over a harvest bed of gracilis flap. This case report describes points of technique that will help successful management of resilient rectourethral fistula. Urinary and faecal diversion in the form of suprapubic catheter and colostomy is vital. Adequate time between stoma formation, fistula closure and then finally stoma closure is needed. Lithotomy position and perineal approach gives best exposure to the fistula. The rectum should be dissected 2cm above the fistula; this aids in tension free closure of the rectal defect. Similarly buccal mucosal graft was used on the urethra to achieve tension free closure. A good vascular pedicle gracilis muscle flap is used to interpose between the two repairs. This not only provides a physical barrier but also provides a vascular bed for BMG uptake. Perfect haemostasis is essential, as any collection may become a site of infection thus compromising results.  We strongly recommend rectourethral fistula be directly repaired with gracilis muscle flap with reinforced buccal mucosa graft without attempting any less invasive repairs because the “first chance is the best chance”.

scholarly journals Perineal reconstruction with double gracilis muscle flap in vulvar cancer. Case report and literature review

2019 ◽  
Vol 16 (5) ◽  
Author(s):  
Pedro Luna-Merlos ◽  
Jessica Elizabeth Salazar-Campos ◽  
Abelardo Meneses-García ◽  
Gonzalo Montalvo-Esquivel
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Vulvar Cancer ◽  
Muscle Flap ◽  
Gracilis Muscle ◽  
Cancer Case ◽  
Perineal Reconstruction ◽  
Gracilis Muscle Flap

Gracilis muscle flap for aesthetic reconstruction in the head and neck region

Microsurgery ◽  
2005 ◽  
Vol 25 (3) ◽  
pp. 196-202 ◽  
Author(s):  
Georg M. Huemer ◽  
Thomas Bauer ◽  
Gottfried Wechselberger ◽  
Thomas Schoeller
Keyword(s):  
Head And Neck ◽  
Muscle Flap ◽  
Neck Region ◽  
Gracilis Muscle ◽  
Head And Neck Region ◽  
Gracilis Muscle Flap
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