98%
921
2 minutes
20
Extramammary Paget's disease (EMPD) is a rare malignant skin tumor that commonly affects the penis and scrotum. This article presents a case of penoscrotal Paget's disease, detailing the diagnosis, treatment, and reconstructive process. Precise defect repair was achieved by excising the lesion and employing a combined propeller flap based on the inferior epigastric artery perforator and a scrotal skin flap. Postoperative outcomes included satisfactory restoration of the penis and scrotum appearance, with preservation of their functions. This case provides an additional reconstructive option for extensive defects following EMPD surgery.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179717 | PMC |
http://dx.doi.org/10.1016/j.eucr.2025.103092 | DOI Listing |
Ann Surg Oncol
September 2025
Section of Surgical Oncology, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Background: Postmastectomy autologous reconstruction (PMAR) is an important component of comprehensive breast cancer care. Previous research has suggested the existence of sociodemographic disparities in complications after immediate PMAR. The objective of this study was to examine the impact of sociodemographic and clinical factors on immediate PMAR postoperative outcomes.
View Article and Find Full Text PDFAesthet Surg J
September 2025
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Background: Patient electronic communication (PEC) via secure messaging is important for patient engagement. While PEC has been studied in primary care, data on surgical specialties, particularly plastic surgery, remain limited.
Objectives: This study assessed the volume and content of post-discharge PECs among patients undergoing post-mastectomy autologous breast reconstruction.
Ann Plast Surg
September 2025
From the Department of Plastic Surgery, Section of Surgical Sciences, Vanderbilt University Medical Center, Nashville, TN.
Background: Loss of breast sensation following mastectomy and reconstruction significantly impacts quality of life, influencing body image, intimacy, and overall emotional well-being. Despite advances in reconstructive techniques, sensory outcomes remain inconsistent, limiting broader clinical adoption of reinnervation strategies. This educational review synthesizes the current scope of sensory restoration in breast reconstruction, examining approaches to reinnervation, sensory outcome measures, and management of patient expectations.
View Article and Find Full Text PDFJ Robot Surg
August 2025
Section of Vascular Surgery, The University of Chicago Medicine, Chicago, IL, USA.
Vascular surgical site infections (SSI) are common and associated with graft infection, surgical reintervention, and increased lengths of stay. While antibiotic prophylaxis and negative pressure dressings have improved SSI rates, reported incidence remains as high as 30%. Robotic approaches have decreased surgical site infections in multiple surgical specialties, but remain without a vascular surgery indication.
View Article and Find Full Text PDFInt J Surg Protoc
December 2025
Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG Center Ludwigshafen, University of Heidelberg, Ludwigshafen, Germany.
Background: End-to-end anastomosis to the internal mammary artery (IMA) is the current standard anastomosis technique for women undergoing autologous breast reconstruction with deep inferior epigastric perforator (DIEP) flap. This approach fails to preserve the length of the IMA, compromising its availability for cardiac surgery use in women who develop coronary heart disease. A viable alternative may be end-to-side anastomosis, but data on its feasibility is currently lacking.
View Article and Find Full Text PDF