Aesthetic Reconstruction of Peno-Scrotal Lymphedema: Refinements of Previous Technique | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Article 30, Volume 43, Issue 2, July 2019, Page 345-350 PDF (8.04 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2019.65113 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Abd Elrahman M Abd El aal* ; Mina Estawrow; Ekram Safe | ||||
| The Department of Plastic and Maxillofacal Surgery, Faculty of Medicine, Ain Shams University, Cairo | ||||
| Abstract | ||||
| Background: Lymphedema is emotionally frustrating disease due to its progressive course and no definite curative methods of treatment, it was found that lymphedema results from local and/or systemic failure of the lymphatic transport system, and according to its cause and onset of lymphedema it is classified into primary and secondary lymphedema. Treatment methods of scrotal lymphedema and reconstruction were limited in the literature to lymphangioplasty or direct excision of the involved tissue and local tissue reconstruction. The current study present patients with established scrotal lymphedema and the way of surgical management in excision and reconstruction. Patients and Methods: Ten male patients were involved in the study, their age was ranging between 25-60 years, three patients were primary lymphedema, seven patients were secondary lymphedema. Results: Patients in the study were followed-up postoperatively for a minimum 6-month period, it was found that a clear improvement of the aspect of the external genitalia and subsequent improvement of ambulation, hygiene, and ability to void in the standing position occurred for all patients. Conclusion: The procedure is effective giving good results with no major complications were recorded, the technique based on anatomical background that is why recurrence was not recorded. | ||||
| Keywords | ||||
| Scrotal – Lymphedema – Penile – Inguinal lymph; nodes | ||||
| References | ||||
|
D'Alessandro A., Clement C.C. and Santambrogio L.: Lymph formation, composition and circulation: A proteomics perspective. Hansen KC, Int. Immunol., 27: 219- 27, 2015. 2- Liao S. and Von Der Weid P.Y.: Lymphatic system: An active pathway for immune protection. Semin. Cell Dev. Biol., 38: 83-9, 2015. 3- Ruocco V., Schwartz R.A. and Ruocco E.: Lymphedema: An immunologically vulnerable site for development of neoplasms. J. Am. Acad. Dermatol., 47: 124-7, 2002. 4- Rockson S.G.: The lymphatics and the inflammatory response: Lessons learned from human lymphedema. Lymphat. Res. Biol., 11: 117-20, 2013. 5- Current Concepts in the Surgical Management of Lymphedema. 6- Pramod Kumar M.S., M.Ch., D.N.B. and Gurusamipalayam Periyasamy Navaneethan, M.B.B.S. Resection of Scrotal Lymphedema. 7- Capuano G.P. and Capuano C.: Surgical management of morbidity due to lymphatic filariasis: The usefulness of a standardized international clinical classification of hydroceles. Trop. Biomed., 29: 24-38, 2012. 8- Ikram Safe, M.D.: Peno-scrotal lymphoedema; one-stage 350 Vol. 43, No. 2 / Aesthetic Reconstruction of Peno-Scrotal Lymphedema reconstruction. Egyptian Journal of Plastic & Reconstructive Surgery. Jan., 21-8, 1993. 9- Farina R. and Farina G.: Elefantíase peno-escrotal (osqueofaloplastia). Rev. Bra. Cir., 85: 20512, 1995. 10- Modolin M., Mitre A.I., Da Silva J.C.F., Cintra W., Quagliano A.P., Arap S. and Ferreira M.C.: Surgical treatment of lymphedema of the penis and scrotum. Clinics, 61 (4): 289-94, 2006. 11- Huang G.K., Hu R.Q., Liu Z.Z. and Pan G.P.: Microlymphaticovenous anastomosis for treating scrotal elephantiasis. Microsurgery, 6: 36-9, 1985. 12- Mukenge S.M., Pulitanó C., Colombo R., Negrini D. and Ferla G.: Secondary scrotal lymphedema: A novel microsurgical approach. Microsurgery, 27: 655-6, 2007. 13- Sappey M.P.C.: Anatomie, Physiologie, Pathologie des vaisseaux lymphatiques. Paris: Adrien Delahaye, 1874. 14- Adil Kallat, Ahmed Ibrahimi, Hani Abousaleh, Hachem El-Sayegh, Ali Iken, Lounis Benslimane and Yassine Nouini: Scrotal Elephantiasis: About One Case and Literature Review. International Journal of Current Innovation Research, Vol. 3, Issue 04, pp 668-70, April 2017. 15- Dandapat M.C., Mohapatro S.K. and Patro S.K.: Elephantiasis of the penis and scrotum: A review of 350 cases. Am. J. Surg., 149: 686, 1985. 16- Martinez R.E., Couchell S.H., Raffel B. and Swartz W.M. Primary lymphedema of the scrotum: Surgical treatment and reconstruction. Ann. Plast. Surg., 21: 354, 1988. 17- Apesos J. and Anigian G.: Reconstruction of penile and scrotal lymphedema. Ann. Plast. Surg., 27: 570, 1991. 18- Konety B.R., Cooper T., Flood H.D. and Futrell J.W.: Scrotal elephantiasis associated with hidradenitis suppurativa. Plast. Reconstr. Surg., 97: 1243, 1996. 19- Ndoye A., Sylla C., Ba M., Gueye S.M. and Diagne B.A.: Point of technique: Management of penile and scrotal elephantiasis. B. J. U. Int., 84: 362, 1999. 20- Tammer M.E., Plogmeier K. and Schneider W.: Surgical therapy of scrotal edema in elephantiasis congenita hereditaria (Meige type). Urologe A., 41: 493, 2002 | ||||
|
Statistics Article View: 191 PDF Download: 610 |
||||
