Satya Parkash

The use of myocutaneous flaps in block dissections of the groin in cases with gross skin involvement

Various myocutaneous flaps (upper sartorius, upper gracilis and lower rectus abdominis) have been used in a series of 17 block dissections of the groin with gross skin involvement. Only one of these flaps developed appreciable necrosis. The sartorius flap is restricted in its application for anatomical reasons. The rectus abdominis flap can only be used from the opposite side in unilateral cases, though it does appear to be the most dependable flap. The gracilis flap appears to be the most suitable for the majority of the patients who usually present with bilateral involvement of the lymph nodes and skin.

Ectopic gastric mucosa in duplication of the rectum presenting as a perianal fistula

A case of ectopic gastric mucosa occurring in duplication of the rectum is reported. Gastric ectopia in relation to the rectum is a rare entity, and this patient had a unique presentation as a perianal fistula which caused a considerable diagnostic problem.

A myocutaneous island flap in the treatment of a chronic radionecrotic ulcer of the abdominal wall

Abstract The use of myocutaneous flaps in primary reconstruction of abdominal wall defects has been described by Mathes and Bostwick (1977). Ulcers following irradiation have an indurated, avascular base, are extremely painful and are notorious for their chronicity. This short communication describes the treatment of an extensive ulcer of the abdominal wall using an island flap based on the lower half of the rectus abdominis of the contralateral side.

The use of preputial skin to replace conjunctiva and to correct ectropion

The prepuce can provide a large amount of soft delicate skin suitable for replacement of lost conjunctiva or in the surgical treatment of ectropion. Three typical examples of its uses are described: two of ectropion following burns and one case with a carcinoma of the conjunctive which was excised and replaced with a free graft from the inner lining layer of the prepuce.

The total gluteus maximus rotation and other gluteus maximus musculocutaneous flaps in the treatment of pressure ulcers

The use of musculocutaneous flaps in the treatment of pressure ulcers has been widely accepted. This study presents the results of the use of various types of gluteus maximus musculocutaneous flaps such as island flaps, advancement flaps and new total gluteus maximus rotation flaps with or without an inferior gluteal fasciocutaneous extension, in the treatment of pressure ulcers.

Meatoplasty for gross urethral stenosis: a technique of repair and a review of 32 cases

This paper is a review of the treatment of 32 cases of meatal stenosis arising as a complication of recurrent balanoposthitis (26 cases) or balanitis xerotica obliterans (six cases). There was gross scarring of the glans and the terminal urethra resulting in a contracted glans and a pinhole meatus. These deformities were treated successfully by segmental excision of all the scar on the glans and resurfacing the raw area with a local preputial or penile skin flap. In two patients a ventral midline flap was introduced as an island flap. In no case was a ventral slit made as the only definitive treatment of the meatal stenosis. Two instruments were made specifically to facilitate this type of operation.

Rectus abdominis myocutaneous island flap for bridging defect after cystectomy for bladder exstrophy

A case of adult exstrophy of the bladder was managed with urinary diversion, excision of the bladder, and closure of anterior abdominal defect, using a rectus abdominis myocutaneous island flap. This procedure is recommended as sound in cases in which reconstruction of the bladder is not feasible.

Retroperitoneal colopexy for adult rectal procidentia

Nonresective fixation procedures are superior to resections in the management of rectal procidentia. A new operative procedure of retroperitoneal fixation of the redundant rectum and sigmoid after mobilization of the rectum up to the pelvic floor is described. The procedure was performed in 32 patients. In a follow-up ranging up to 11 years, only one reccurrence of mucosal prolapse was seen. Rectal, bladder, and sexual functions were normal. There was a low wound infection rate and no mortality. The procedure appears superior to conventional operations for rectal procidentia and, at the same time, avoids usage of prosthetic materials for fixation with their known risk of complications.