Flap Tip Research Articles

“Thumbmb” urethroplasty A modification and comparative study

Of 20 patients treated by a modified “thumb” urethroplasty technique, only 1 required a new repair. This new method adds a “dog-ear” protrusion from the thumb-shaped flap of scrotal skin. The “dog-ear” is invaginated into the distal urethral ostium. Also trimmed tip of flap is invaginated into the proximal ostium. This technique provides better postoperative results and prevents fibrosis around either the distal or proximal ostium of the repaired segment.

DEVELOPMENTS IN THE SKIN-GRAFTING OPERTION FOR CANCER OF THE BREAST

It has been my custom every year or two to request our patients operated on for mammary cancer and living in or near Baltimore to come on certain mornings to the surgical clinic of the Johns Hopkins University in order that we may observe the ultimate result, particularly with reference to the function of the arm. For about sixteen years our practice has been to cover the fresh defect, made as small as feasible in various ways, with large Thiersch grafts. The available skin was tucked high into the armpit in order to cover the axillary vessels, to obliterate the dead space under the clavicle, and to elevate to the highest possible point the axillary fornix. The tip of the axillary flap was usually cut away. Notwithstanding this precaution a little necrosis of the badly nourished flap was not infrequently observed, and as a consequence there occurred an occasional but