Dorsal Neurovascular Bundle Research Articles

Volar Advancement Skin Flap to the Fingertip

The use of volar advancement flaps is presented for volar oblique amputation of fingertips. Use of a mini-volar flap allows closure of a guillotine amputation that leaves no scar on the pad of the fingertip and has only to be elevated to the axis of rotation of the PIP joint. This procedure decreases the likelihood of dorsal necrosis over the middle phalanx, since the dorsal neurovascular bundle is not encroached upon.

Reduction Clitoroplasty Via Ventral Approach

We describe an operative technique to reduce the enlarged clitoris that minimizes any potential damage to the dorsal neurovascular bundle of the clitoris.

Clitoroplasty in intersex: a new technique.

A new technique of reduction clitoroplasty is presented. The procedure consists of a subtotal resection of the shaft of the clitoris with preservation of the dorsal neurovascular bundle of the glans. The purpose is to preserve erogenous glans clitoris and the erection of the crura. The anatomical results in 8 patients were excellent; partial necrosis occurred in a 12-year-old patient. The functional result remains unknown since the children are still young. This technique of clitoroplasty is, as far as we know, the most conservative procedure to date.

Congenital penile curvature without hypospadias

Congenital curvature of the penile shaft without hypospadias is a rare problem that poses cosmetic and functional disability. It is caused by disparate growth of the penile corpora. Surgical repair of 7 cases is reviewed, with follow-up of two to eight years. The results of these 7 cases are added to 13 other cases reported previously. The Nesbit technique was used with the modification of (1) preserving the dorsal neurovascular bundle to avoid anesthesia and lymphedema of the glans in selected cases, and (2) intraoperative use of saline-induced erections and Allis clamp “tucks” of the tunica albuginea to insure a satisfactory repair.