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Updated: Jul 13, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Successful management of giant ischial decubitus ulcers complicated with urethral disorder
Summary:
We report a case of bilateral ischial pressure sores complicated with urethral fistula, caused by previous complete ischiectomy. Successful reconstruction was achieved after closure of the bladder neck. The large defect in the bilateral ischium and perineum was covered simultaneously with a free total plantar flap. The paucity of suitable recipient vessels for microvascular anastomoses was resolved by the creation of an arteriovenous loop, when the closure of bladder neck was performed in a supine position.
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