However, in the future, this flap may become an interesting alternative to the radial forearm flap, particularly as a pedicled flap. Open in a separate window. Other perforator flaps include the thoracodorsal perforator artery flap TAP and the deep inferior epigastric perforator artery flap DIEP. Before these procedures are undertaken, sensation must be returned to the tip of the penis. Another not infrequent complication consists of skin slough of the NAC, which can be left to heal by conservative means. This was more often the case in smokers, in those who insisted on a large-sized penis requiring a larger flap, and also in patients having undergone anastomotic revision.
However, later in their series they performed the SCM first most often in combination with a total hysterectomy and ovariectomy.
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A incisions; B preoperative; C postoperative. Another not infrequent complication consists of skin slough of the NAC, which can be left to heal by conservative means. Clinical judgment is most important, however, and we always sit the patient up intraoperatively to check final nipple position. Techniques The semicircular technique Fig. This ensures thick flaps that produce a pleasing contour.