Successful microsurgical replantation of an amputated penis

Traumatic amputation of the penis is a rare condition. The paper presents a 22-year old man who suffered a complete penile amputation in a result of an unfortunate accident. Microsurgical replantation of the penis was performed in the case with a complete return of sensation, sexual function and physiologic miction. Microsurgical replantation is the treatment of choice for this injury.     

阴茎超远端完全离断再植1例并文献复习

目的探讨阴茎离断的治疗及预后。方法回顾性分析1例阴茎离断患者的诊治过程及预后,并结合相关文献讨论。结果通过显微外科阴茎再植,阴茎解剖形态和功能得到恢复,术后12个月随访暂无尿道狭窄、勃起功能障碍及其他并发症。结论显微外科阴茎再植术能有效减少一些并发症的发生,应该成为阴茎离断再植术的首选。     

阴茎离断再植成功一例报告并文献复习

报告一例阴茎离断病例，应用显微技术再植再功并复习文献，对阴茎离断的处理方法及术后并发症等进行讨论，认为成功的血管神经显微吻合是提高成活率，降低术后并发症的关键。     

Microvascular replantation of a self amputated penis

In this case report, microvascularreplantation of a self amputated penis isreported. The reasons of being unsuccessfulwere discussed and the literature wasreviewed.     

特殊组织器官完全离断的显微再植

目的 探讨总结与显微外科相关的特殊组织器官离断再植的方法与经验.方法 对5例耳廓离断、1例颏部组织离断、1例头皮撕脱离断、1例阴茎完全离断、1例足部长组织块离断、1例足部五趾完全离断的组织器官进行显微再植,手术分别吻合了耳后动脉下耳支、面动脉颏支、双侧枕动脉和颞动脉、阴茎背动脉、足底内侧动脉和足底弓动脉、趾动脉和趾（跖）背动脉.结果 1例再植断耳失活,1例再植头皮失活,1例足部长组织块离断再植后部分足跟软组织坏死,予以皮瓣修复,其余再植组织及器官均成活.术后随访3～28个月,再植器官外观、感觉恢复良好,功能基本恢复.结论 完全离断的特殊组织或器官一般均可找到知名血管予以吻合,预防血管危象是成活关键,再植后外观满意、功能恢复良好.     

Microsurgical replantation of a totally amputated ear without venous repair

The authors present a case of successful replantation of a totally avulsed ear in a 37-year-old patient, using a termino-terminal arterial anastomosis on the superficial temporal artery. As no suitable vein could be identified in the amputated part, they relied on leech therapy and systemic anticoagulation for venous drainage. Despite an 18-hr ischemia, the ear survived completely.     

Successful replantation of a totally amputated penis by using microvascular techniques

A rare case of successful replantation of a totally amputated penis is reported. By using microvascular techniques a superior result was achieved. Not only were all tissue preserved, but also urination, sensation and erection returned to normal. Specific points to be considered in penile replantation are discussed.     

Partial necrosis of an amputated penis following replantation in a heavy smoker: A case report

A case of penile amputation in a heavy smoker who was treated by microsurgical replantation is presented. The penis was cut by a kitchen knife and the ischaemia time until revascularisation was 3 hours. Following successful microneurovascular repair the penis survived. However, a 3 cm portion of the ventral segment, including the corresponding urethral segment, sloughed. The adverse effects of nicotine on vascular anastomotic network in heavy smokers are well known and may be the cause of the partial necrosis in this case. © 1998 Wiley-Liss, Inc. MICROSURGERY 18:189–191 1998     

The replantation of an amputated tongue by supermicrosurgery.

The tongue has important roles in deglutition, speech, airway protection, taste, and sexual function, and its amputation is very serious. Using supermicrosurgical techniques, we replanted successfully a patient's tongue, the distal part of which had been amputated by the bite of another person, through the anastomosis of a blood vessel that was only 0.7-0.8mm. The result was that the state of the replanted tongue was relatively good both functionally and aesthetically, and the patient was very satisfied.     

Microscopic replantation of completely amputated penis and testes: a case report and literature review

International Urology and Nephrology - The aim of this study was to summarize in a literature review our treatment experience involving microscopic replantation in a rare case of a completely...     

Revascularization of an incompletely amputated ear with a temporal artery fascia flap

A 14-year-old male adolescent underwent incomplete amputation of his right ear. Revascularization of the remnant was achieved by means of a temporoparietal fascial-island flap. It was sutured between the dorsal aspect of the cartilage and the dorsal skin of the ear. The postoperative course was uneventful. It healed with no complications.     

逆行法断拇趾再植

目的探讨逆行法拇趾再植的特点及其效果.方法对18例离断拇趾进行再植,再植时保持患足背伸90°～120°.逆行法再植的顺序趾底皮肤→趾底皮下静脉→趾固有神经→趾固有动脉→屈趾肌腱→单根克氏针固定趾骨→伸趾肌腱→趾背动脉→趾背皮下静脉→两侧及背侧皮肤.结果 16例成活,成活率88.9%,患拇总屈曲度为25°～70°,断拇外形恢复良好,趾尖两点辨别力10～16 mm,患者行走步态正常11例,基本正常7例.结论断拇离断再植极大减轻病人伤残,功能及外观恢复满意,逆行法再植拇趾显示了独特的不需变换体位的优点.     

逆行法再植足趾

目的　探讨逆行法足趾再植的特点及其效果。方法　从 1991年～ 1999年 ,对 19例 (2 5趾 )离断足趾进行再植 ,再植时保持患足背伸 90°～ 12 0° ,逆行法再植的顺序 :趾底皮肤→趾底皮下静脉→趾固有神经→趾固有动脉→屈趾肌腱→单根克氏针固定趾骨→趾伸肌腱→趾背动脉→趾背皮下静脉→两侧及背侧皮肤。结果　 2 5趾中 2 3趾成活 ,成活率 92 % ,患趾总屈曲度 ,趾为 2 5°～ 70° ,第 2、 3趾为 35°～ 90° ,断趾外形恢复良好 ,趾尖两点辨别觉 10mm～ 16mm ,患者行走步态正常 15例 ,基本正常 4例。结论　离断足趾再植极大减轻了病人伤残率 ,功能及外观恢复满意 ,逆行法再植足趾显示了独特的不需变换体位的优点     

Microsurgical replantation of an ear with no venous repair

Abstract

Replantation of an avulsed ear was completely successful with only arterial repair (to the superficial temporal artery) and the use of medicinal leeches.