Scrotal reconstruction with superomedial fasciocutaneous thigh flap

Mello, Daniel Francisco; Júnior, Américo Helene

doi:10.1590/0100-6991e-20181389

Cited by 11 publications

(9 citation statements)

References 14 publications

(21 reference statements)

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“…Various flaps such as transposition fasciocutaneous flaps with posterior-inferior basis, gracilis myocutaneous in V-Y advancement or gracilis, and rectus abdominis flaps are being used in much extensive tissue loss. [28] None of our patients had flaps due to multiple factors including delay in wound closure with subsequent wound contraction and lack of plastic surgeon/expertise.…”

Section: Discussionmentioning

confidence: 93%

“…Similar pattern was reported by Chalya et al, who had 77.4% for secondary closure and 16.7% skin graft. Mello and Helene Júnior [28] described scrotal skin loss as an indicator for skin graft. Some authors described much more complex flaps in extensive skin loss and suggested transposition of testes to the subcutaneous tissues of the upper thigh, but associated with pain, atrophy, and decreased or impaired spermatogenesis due to heat from the abdominal wall.…”

Section: Discussionmentioning

confidence: 99%

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Management of Fournier’s Gangrene in a Low Resource Setting

Yunusa¹,

Cassell²,

Konneh³

et al. 2019

Clinic Res Urol

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BACKGROUND Fournier's gangrene (FG) represents a necrotizing infection of the skin and subcutaneous soft tissue of the external genitalia and perineum. [1,2] In 1764, Baurienne first described this condition, but in 1883, Jean Alfred Fournier defined it as an idiopathic, rapidly fulminating infection in previously healthy young patients and pointed out the known predisposing factors for the development of this type of gangrene. [1][2][3][4][5] Mortality ranges from 0 to 67% in some series (FG 5-7).Necrotizing fasciitis in the region of the perineum and genitalia should be termed FG, regardless of the etiology or the presence of infection because the prognosis and treatment are the same. [6]

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Management of Fournier’s Gangrene in a Low Resource Setting

Yunusa¹,

Cassell²,

Konneh³

et al. 2019

Clinic Res Urol

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“…The patient in question presents three of the predisposing factors: hypertension, Diabetes Mellitus, and obesity. Not only were these comorbidities present, but they were also decompensated 2,5,6,9 . Generally, an obvious port of entry can be identified.…”

Section: Case Discussionmentioning

confidence: 99%

“…Thus, early diagnosis along with appropriate and aggressive treatment are determining factors in the prognosis of the patient. 1,7 It is a predominantly male pathology 1,2,5,7,8,9 , between the third and sixth decades of life 3 , and the presence of associated morbidities is common. In women, it presents itself as a necrotizing infection of the perineum or vulva, and is usually secondary to Bartholin's gland abscesses, episiotomy, hysterectomy, or paracervical and pudendal blocks 9 .…”

Section: Introductionmentioning

confidence: 99%

“…1 Some systemic diseases are risk factors for the development of gangrene. Diabetes mellitus is highlighted as the main cause of poor treatment results in Fournier's Syndrome 2,5,6,9 . Alcoholism, hypertension, obesity, smoking, and immunosuppressive diseases and conditions such as HIV infection, radio and chemotherapy, leukemia, among others, are also causes of poor results.…”

Section: Introductionmentioning

confidence: 99%

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Fournier's Syndrome Recurrence

Silva¹,

Silva²,

Oliveira³

et al. 2019

Rev Pat Tocantins

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The Fournier’s Syndrome is characterized by a necrotizing infection that can affect regions such as perineum, thighs, scrotum, thigh roots and lower abdomen. It begins insidiously, but progresses with great tissue loss and is of difficult handling. It is an uncommon morbidity of the population at large. Recurrence is poorly documented, which makes its occurrence atypical in medical practice. The mortality rate varies from 10% to 30.8% in Brazil without changes over time despite advances in technology and in surgical techniques. The objective of this study is to demonstrate a recurrence of the syndrome in a male, 46-year-old patient, with diabetes, hypertension and grade III obesity. The patient was treated in a timely manner with satisfactory clinical and aesthetic outcomes.

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Thinned Pedicle Deep Inferior Epigastric Perforator (DIEP) Flap for Scrotal Reconstruction

Song

Zhang

Liu³

et al. 2020

Indian J Surg

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The deep inferior epigastric artery perforator (DIEP) flap has been widely used for approximately 30 years as an effective method for breast reconstruction, defect repair, and perineal reconstruction. However, few literatures have reported on thinned pedicle DIEP flaps for scrotal reconstruction. The present study presents a series of reconstruction of the scrotum using thinned pedicle DIEP flaps. Five patients with large scrotal skin defects were admitted to our hospital from October 2010 to December 2015. Among these patients, three patients had testes and spermatic cord exposure after accidental injury, while two patients had testes exposure after machine extrusion. All of these patients were repaired using thinned pedicle DIEP flaps. During the 12-24-month follow up, one patient experienced a bulky flap, and a subsequent thinned flap was successfully made. The other four flaps were successfully transplanted with good esthetic and functional results. All donor sites were primarily closed; there was no functional disturbance, such as dysuria and abdominal hernia, and the sensation of these flaps partially recovered after 6 months. The thinned pedicle DIEP flap is robust, reliable, and resilient, and offers good-quality skin cover and cushion to the testes. This flap can be considered a good choice for scrotal reconstruction.

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Scrotal reconstruction with superomedial fasciocutaneous thigh flap

Abstract: the superomedial fasciocutaneous flap of thigh is a reliable and versatile option for the reconstruction of open areas in the scrotal region, showing adequate esthetic and functional results.

Cited by 11 publications

References 14 publications

Management of Fournier’s Gangrene in a Low Resource Setting

Management of Fournier’s Gangrene in a Low Resource Setting

Fournier's Syndrome Recurrence

Thinned Pedicle Deep Inferior Epigastric Perforator (DIEP) Flap for Scrotal Reconstruction

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