Русский
Urinary bladder reconstruction using a free revascularized musculo-cutaneous thoracodorsal autograft. A case report
DOI: https://dx.doi.org/10.18565/urology.2018.3.134-140
P.V. Glybochko, I.V. Reshetov, L.M. Rapoport, A.L. Istranov, R.B. Sukhanov, M.R. Gogokhiya, M.A. Shchedrina, R.T. Adamyan
Department of Reconstructive Surgery, Oncology and Radiotherapy of the Faculty of Medicine, I.M. Sechenov First MSMU of Minzdrav of Russia (Sechenov University), Moscow, Russia; Research Institute for Uronephrology and Human Reproductive Health, R.M. Fronstein Clinic of Urology, I.M. Sechenov First MSMU of Minzdrav of Russia (Sechenov University), Moscow, Russia
The article presents a rare case of urinary bladder reconstruction using thoracodorsal revascularized autograft in a patient with a bladder injury resulting from a road traffic accident. The area and size of the thoracodorsal flap (22×15 cm) were determined using a 500 ml latex model of the bladder. The autograft was revascularized through external iliac vessels. From the thoracodorsal autograft, the dome was formed with the dermal part inward, which was fixed along its circumference to the bladder edges with 3/0 prolene sutures. The muscular part of the thoracodorsal flap was fixed along the perimeter to the remaining aponeurosis and covered by a free expanded cutaneous autograft. The surgery resulted in a newly constructed neobladder of sufficient volume (250–300 ml) with elements of the patient’s own bladder (posterior wall and neck) while sparing the patient from a cystostomy and improving his quality of life.
About the Autors
Corresponding author:: A. L. Istranov – Dr.Med.Sci., Professor at the Department of Reconstructive Surgery, Oncology and Radiotherapy, Faculty of Medicine, I.M. Sechenov First MSMU of Minzdrav of Russia (Sechenov University), Moscow, Russia; e-mail: plasticsurgeon@yandex.ru
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