Articles: surgery.
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Der Urologe. Ausg. A · Nov 1975
Case Reports[Excoriation injuries of the penis and scrotum (author's transl)].
In total excoriation of the penis and scrotum caused by injury the immediate manifestations of new skin cover are seen within 8-12 hrs. In the sense of a "postponed emergency" the usual wound toilet should be performed, a bladder catheter introduced, and penis lowered into a subcutaneous tunnel beneath the abdomen. However, in every case, the ultimate goal is formation of a new skin covering via a split skin flap. The testicles should be lowered into a pouch on the thigh where they will not suffer thermal damage.
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The operation of subcutaneous mastectomy is evolving as an alternative to simple mastectomy for diseases of the breast parenchyma where preservation of the skin capsule is thought possible. Simple mastectomy is a mutilating procedure, cosmetically unacceptable to both patient and surgeon. The psychological implications of breast absence in women are now well known, and attempts to preserve the shape and volume of the breast must receive attention.