Surgery and Healing in the Developing World - Dartmouth-Hitchcock

Reconstructive Surgery in the Tropics
Figure 59. After dissection of skin flaps,
testicles, and urethra with catheter tourniquet.
Figure 60. Postoperative appearance of
the same patient.
271
The flaps are now brought together to cover the shaft of the penis and to cover
the testicles which are replaced in their normal position. This is done with deep
interrupted absorbable sutures.
The skin is approximated around a penrose drain.
Estlander-Abbe Flap (Figs. 61-66)
This flap is used for establishing oral continuity after traumatic or operative loss
of the lip and mouth margin. One-third of either the upper or lower lip is used to
replace up to one half of the opposite lip and mouth margin. It works because the
marginal labial artery, which runs on the inner surface of the lip, can easily support
the circulation of an entire segment of the lip. If this vessel is carefully preserved, the
lip section can be moved with ease to its new and needed position without difficulty
as shown in the accompanying picture.
26