Suprapubic lipectomy with a "Ω" incision for buried penis in obese adult men / 中华男科学杂志

Objective@#To investigate the application of suprapubic lipectomy with a "Ω" incision to removal of the prepubic fat pad for the management of buried penis in obese adult patients.@*METHODS@#We retrospectively analyzed the clinical data on 20 obese adult patients with buried penis treated by suprapubic lipectomy via a "Ω" incision between August 2016 and September 2019.@*RESULTS@#The operations were successfully completed in all the cases, with a mean operation time of 3.7 ± 0.6 hours and an average hospital stay of 8.3 ± 3.3 days. There were no such severe surgery-related complications as hematoma, urethral injury, or fat embolism in any of the cases. Fat liquefaction-related superficial wound infection developed in 1 patient postoperatively, which was cured by combined topical and systemic antibiotic therapy. A 3-month follow-up showed a 95% satisfaction of the patients with the postoperative appearance of the penis and suprapubic incision, but no complications such as ED, abnormal penile sensation, or penile retraction.@*CONCLUSIONS@#Suprapubic lipectomy with a "Ω" incision to remove the prepubic fat pad is an effective surgical approach to the management of buried penis in obese adult males, which is an anatomy-based surgical correction and has the advantages of slight injury, rapid recovery and few complications./.

Anatomical classification and clinical significance of scapular notch based on CT 3D reconstruction / 解剖学报

Objective To research the anatomical classification of suprascapular notch based on CT 3D reconstruction and its clinical significance. Methods A total of 300 suprascapular (left 142, right 158) data were collected from Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University were measured based on CT 3D reconstruction. The suprascapular images were reconstructed by CT 3D technique, and the scapular morphological classification was made and geometric data were measured. Results Five types of suprascapular notch were found. Type I (V, a total of 138 cases, 46%) was the most common, followed by type II (U, a total of 125 cases, 41. 7%), type III (V, a total of 20 cases, 6. 7%), type IV (O, atotol of 10 cases, 3. 3%) and type V (Ω, a total of 7 cases, 2. 3%), in addition, found W-shaped, double O-shaped each 1, because of the number was rare, it was not included in the classification. The average depth and width of the left suprascapular notch were (5. 58±1.42) mm and (10. 22±3. 24) mm, and the right scapula were (6. 02± 1. 87) mm and (10. 81±3. 35) mm, respectively (P < 0. 05). The width of the incision of type I and type II was wider than that of the other three types, which were (12. 46±3. 20) mm and (9. 95± 2. 68)mm, and P<0. 05. In addition, the length of the vertical point from the lowest point of the suprascapular notch to the base of the scapula was different. Type I (the shortest) was about (12. 52±2. 56) mm, and type III (the longest) was about (14. 48±4. 29) mm. There was a statistical difference between type I and type III (P<0. 05). Conclusion Based on the result of CT three-dimensional reconstruction, the suprascapular notch is divided into five types, which are V-shaped, U-shaped, V-shaped, O-shaped, and ft-shaped. The probability of suprascapular nerve compression in V-shaped and O-shaped is more, on the contrary, the shape of the √-shaped and U-shaped compression is small.