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首页> 外文期刊>BMC Urology >Traumatic penile amputation: a case report
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Traumatic penile amputation: a case report

机译：创伤性阴茎截肢术：一例报告

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Background Traumatic amputation of the penis is a rare surgical emergency. Although repair techniques have been well described in literature, failure of replantation and its causes are poorly understood and reported. Herein, we report the case of a 9?year old boy who underwent replantation of his amputated penis with delayed failure of the surgery, along with a discussion of recent advances in the management of this condition. Case Presentation A 9-year-old boy was referred to our hospital for traumatic amputation of the penis. Papaverine aided microsurgical replantation of the severed part was performed, but by 48?h, the glans became discoloured and necrosis set in by 4?days. Unfortunately, by day 12 two thirds of the re-implanted penis was lost along with overlying skin. Conclusion Replantation of an amputated penis in a pediatric patient is a daunting task even for experienced surgeons. The vasodilatory effect of papaverine for vascular anastomosis is well described, but the use of a paediatric cannula for identification and instillation of papaverine into penile vasculature, has not been described for the repair of penile amputation. Despite its apparent failure, we believe this technique may be valuable to surgeons who might encounter this rare event in their surgical practice, especially in resource limited settings like ours.
机译：背景阴茎的创伤性截肢是一种罕见的外科急症。尽管修复技术已在文献中得到了很好的描述，但重新种植的失败及其原因却知之甚少。在此，我们报道了一个9岁男孩的病例，该男孩因其截肢的阴茎再植而手术延迟失败，并讨论了该病的最新治疗进展。病例介绍一名9岁男孩因阴茎外伤性截肢被转到我院。进行罂粟碱辅助的切除部分的显微外科手术再植，但在48小时后，龟头变色并在4天后坏死。不幸的是，到了第12天，再植入的阴茎中有三分之二丢失了，并且上面的皮肤也消失了。结论即使对于有经验的外科医生，小儿患者的阴茎再植也是一项艰巨的任务。罂粟碱对血管吻合的血管舒张作用已得到很好的描述，但尚未有描述使用儿科套管将罂粟碱鉴定和滴注到阴茎脉管系统中来修复阴茎截肢。尽管其明显失败，但我们认为该技术对于可能在外科手术中遇到这种罕见事件的外科医生很有用，尤其是在像我们这样的资源有限的环境中。

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