Late salvage of a “free flap” phalloplasty: a case report
Noordanus RP, Hage JJ.
Department of Plastic and Reconstructive Surgery,
Academic Hospital, Free University, Amsterdam, The Netherlands.
Abstract [Full Text] [PDF]
Three weeks after radial forearm free flap phalloplasty, a 28-year-old female-to-male transsexual presented with ischaemia of the neophallus. A salvage procedure was started 7 hours after onset of ischemia.
Thrombectomy of the arterial pedicle did not result in venous return of the arterial inflow. Perfusion of the flap with streptokinase restored venous return. Flap perfusion was confirmed by intraoperative direct angiography of the neophallus.
Six months after this salvage procedure, the flap is doing well and tactile sensibility has occurred.
Citation: Microsurgery 1993;14(9):599-600 an article published on the Internet by PubMed <http://www.ncbi.nlm.nih.gov/>