Scrotal reconstruction with modified pudendal thigh flaps
详细信息 查看全文
- 作者：Nabil Mopuri ; Edmund Fitzgerald O'Connor ; Fortune C. Iwuagwu<sup> ; sup><sup>fortuneiwuagwu@hotmail.com" class="auth_mail" title="E-mail the corresponding authorsup><sup> ; sup><sup>augustinegraces@aol.com" class="auth_mail" title="E-mail the corresponding authorsup>
- 关键词：Scrotal reconstruction ; Internal pudendal ; Fournier's gangrene ; Necrotizing fasciitis ; Pedicled flap
- 刊名：Journal of Plastic, Reconstructive & Aesthetic Surgery
- 出版年：2016
- 出版时间：February 2016
- 年：2016
- 卷：69
- 期：2
- 页码：278-283
- 全文大小：1918 K
文摘
Scrotal skin loss can occur following trauma, Fournier's gangrene, post tumour excision, burns, etc. There are many techniques described in the literature including residual scrotal skin mobilization, skin grafts, pedicled and free flaps. The management is complex and challenging shown by the multiplicity of flaps and techniques described in the literature.
spara0015">We used a modified pudendal thigh flap to reconstruct scrotal defects in five patients. This study describes the vascularity of the flap, technique of elevation and the inset of the flap. The elevation and particularly the insetting make it different from other flaps raised on this vascular network for scrotal reconstruction. This pedicled flap is robust, reliable, resilient and produces a neo-scrotum that looks natural in appearance, offers good-quality skin cover and cushion to the testes as well as protective sensation.