Urinary bladder reconstruction using a free revascularized musculo-cutaneous thoracodorsal autograft. A case report

Глыбочко П. В., Решетов И. В., Рапопорт Л. М., Истранов А. Л., Суханов Р. Б., Гогохия М. Р., Щедрина М. А., Адамян Р. Т.

Урология

Вып. 3, С. 134-140

Опубликовано: 2018

Тип ресурса: Статья

DOI:10.18565/urology.2018.3.134-140

Аннотация:

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 (2215 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 patients own bladder (posterior wall and neck) while sparing the patient from a cystostomy and improving his quality of life.

Ключевые слова:

bladder; microsurgery; reconstruction; thoracodorsal autograft; urinary diversion

adult; bladder; case report; human; injuries; male; myocutaneous flap; procedures; reconstructive surgery; surgery; surgical flaps; traffic accident; transplantation; treatment outcome; urologic surgery; vascularization; Accidents, Traffic; Adult; Humans; Male; Myocutaneous Flap; Reconstructive Surgical Procedures; Surgical Flaps; Treatment Outcome; Urinary Bladder; Urologic Surgical Procedures

Язык текста: Русский

ISSN: 1728-2985

Глыбочко П. В. Петр Витальевич 1964-

Решетов И. В. Игорь Владимирович 1964-

Рапопорт Л. М. Леонид Моисеевич 1956-

Истранов А. Л. Андрей Леонидович 1977-

Суханов Р. Б. Роман Борисович 1976-

Гогохия М. Р. Милана Роландовна 1992-

Щедрина М. А. Марина Анатольевна 1971-

Адамян Р. Т. Рубен Татевосович 1961-

Gly'bochko P. V. Petr Vitalyevich 1964-

Reshetov I. V. Igor` Vladimirovich 1964-

Rapoport L. M. Leonid Moiseevich 1956-

Istranov A. L. Andrej Leonidovich 1977-

Sukhanov R. B. Roman Borisovich 1976-

Gogokhiya M. R. Milana Rolandovna 1992-

Shhedrina M. A. Marina Anatolyevna 1971-

Adamyan R. T. Ruben Tatevosovich 1961-

Urinary bladder reconstruction using a free revascularized musculo-cutaneous thoracodorsal autograft. A case report

Текст визуальный непосредственный

Урология

Бионика Медиа

Вып. 3 С. 134-140

2018

Статья

bladder microsurgery reconstruction thoracodorsal autograft urinary diversion

adult bladder case report human injuries male myocutaneous flap procedures reconstructive surgery surgery surgical flaps traffic accident transplantation treatment outcome urologic surgery vascularization Accidents, Traffic Adult Humans Male Myocutaneous Flap Reconstructive Surgical Procedures Surgical Flaps Treatment Outcome Urinary Bladder Urologic Surgical Procedures

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 (2215 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 patients own bladder (posterior wall and neck) while sparing the patient from a cystostomy and improving his quality of life.