Plastic surgery; its principles and practice . Fig. 283.—Operation for hypospadias, continued (Bevan).—A channel of considerablesize has been made through the glans. Two mosquito clamps are passed through thisopening and grasp the loosened flap at each extremity. The flap is then drawn through thechannel. will be checked. For this reason this operation is adapted only to verymild cases (Fig. 281). Bevans Operation.—Dissect up an oblong flap (the lower partbeing longer than the upper) from around the urethral opening. Makea free opening through the center of the glans so that the flap will notb
Plastic surgery; its principles and practice . Fig. 283.—Operation for hypospadias, continued (Bevan).—A channel of considerablesize has been made through the glans. Two mosquito clamps are passed through thisopening and grasp the loosened flap at each extremity. The flap is then drawn through thechannel. will be checked. For this reason this operation is adapted only to verymild cases (Fig. 281). Bevans Operation.—Dissect up an oblong flap (the lower partbeing longer than the upper) from around the urethral opening. Makea free opening through the center of the glans so that the flap will notbe constricted when it is brought through the opening. Pass twomosquito forceps through the opening in the glans and grasp the flapat its upper and lower extremities and gradually draw it up throughthe opening as shown in the diagram. Suture the edges of the flap tothe margins of the wound in the glans and close the skin. HYPOSPADIAS 321 This seems a very rational procedure and Bevan says it can be usedin cases where the opening is as fa
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