A new technique for reconstruction of the avulsed scrotum: the ‘3D- prefabricated omental flap’

İşken, Tonguç; Alagöz, Şahin; Unal, Cigdem; Onyedi, Murat; Utkan, Zafer; Dillioğlugil, Özdal

doi:10.1016/j.bjps.2008.04.065

Cited by 7 publications

(4 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The use of the greater omentum as a pedicled flap for scrotal reconstruction following Fournier's gangrene was described by Kamei et al 16 in 1994, and more recently by Is ken et al 17 as a two-stage reconstruction following scrotal avulsion. This involved initial prefabrication of the three-dimensional shape of the scrotum using the reservoir of a Jackson-Pratt drain, followed by placement of the testes into the scrotal flap at a later stage.…”

Section: Discussionmentioning

confidence: 97%

Scrotal reconstruction with a free greater omental flap: A case report

Tang

Kadirkamanathan

et al. 2010

Microsurgery

View full text Add to dashboard Cite

We report a case of Fournier's gangrene, where we used the greater omentum as a free flap for scrotal reconstruction and outline the advantages over previously described methods. The greater omentum was harvested using a standard open technique. The deep inferior epigastric vessels were passed through the inguinal canal into the scrotal area as recipient vessels. The detached greater omental flap was prefabricated into a three-dimensional sac prior to inset and microvascular anastomoses. The flap was then covered by skin graft. The reconstruction had shown good early results with complete survival of the flap, as well as good functional and esthetic outcome at six months. The greater omentum can therefore be used as a free flap for scrotal reconstruction. It allows easy prefabrication and flap inset. The deep inferior epigastric vessels are also suitable recipient vessels.

show abstract

Section: Discussionmentioning

confidence: 97%

Scrotal reconstruction with a free greater omental flap: A case report

Tang

Kadirkamanathan

et al. 2010

Microsurgery

View full text Add to dashboard Cite

show abstract

“…Various techniques have been described in the literature, including the application of skin grafts, skin flaps, musculocutaneous flaps, muscle flaps with skin grafting, and recently, prefabricated omental flaps. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] Skin grafts may provide a thin coverage with near-normal appearance; however, in general, it is not preferred for the management of scrotal defects because they are associated with some disadvantages. The contraction and relaxation of the tunica dartos and the underlying cremaster muscle helps to maintain the temperature gradient and protects the testicles from external mechanical effects.…”

Section: Discussionmentioning

confidence: 99%

“…Numerous techniques have been described in the literature with varying success rates. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] Reconstruction achieved using skin grafts and skin flaps varies in terms of the advantages and disadvantages, and a consensus on the best option has not been achieved yet because the effects of the various options on testicular functions remain unknown. A limited number of studies have been conducted on the effects of flap transfers on spermatogenesis 16,17 ; however, to the best of our knowledge, the effects of reconstruction using skin grafts on testicular function have not yet been investigated.…”

mentioning

confidence: 99%

The Effect of Scrotal Reconstruction With Skin Flaps and Skin Grafts on Testicular Function

Demir¹,

Aktepe²,

Kandal³

et al. 2012

Annals of Plastic Surgery

View full text Add to dashboard Cite

Due to its unique composition, the reconstruction of scrotal skin defects is a major clinical challenge. This study was designed to evaluate the effects of scrotal reconstruction, using skin grafts and skin flaps, on spermatogenesis. In Group 1, the rats did not undergo surgery and were used as controls. In Group 2, after removal of all of the scrotal skin to expose the testicles, the defect was repaired using a skin flap from the right groin region. In Group 3, the reconstruction was achieved using skin grafts. All the rats were killed at 2 months postoperatively and evaluated. The mean wet weights of the testicles in the control group were significantly higher compared with that of the graft group. The mean height of the germinal epithelium was significantly greater in the control and flap groups compared with that of the graft group. The Johnsen score for spermatogenesis in the control group was higher than that in the graft group. The use of flaps resulted in testicular function that was comparable to that of the control group, whereas the use of grafts resulted in diminished testicular function. Therefore, we suggest that flaps may be the first choice for scrotal reconstruction.

show abstract

“…The omentum flap has been used as a pedicled flap in chest wall reconstruction, [7] pelvic floor reconstruction, [5] penile [8] and scrotal reconstruction, [9] and knee reconstruction with two lengthening techniques. [10] Omentum flap interposition has also been used in complex vesicovaginal fistula repair where good-quality tissue interposition for complex fistula is essential for a successful outcome.…”

Section: Discussionmentioning

confidence: 99%

Utility of the omentum in sacral reconstruction following total sacrectomy due to recurrent and irradiated giant cell tumour of the spine

Unal

Eren

Işıl

et al. 2012

Indian J Plast Surg

Self Cite

View full text Add to dashboard Cite

Reconstruction of the lumbosacral region after surgical excision of irradiated and recurrent spinal giant cell tumours remains a challenging problem. In this case report, we describe the use of the pedicled omentum flap in reconstruction of an irradiated and infected wide sacral defect of a 19-year-old male patient. The patient had radiotherapy and subsequent wide surgical resection after recurrence of the tumour. A myocutaneous flap from the gluteal area had failed previously. Local flap options could not be used because of the recent radiotherapy to the gluteal area. Since the patient had a laparotomy for tumour resection and a colostomy, abdominal muscles were not considered reliable for reconstructive procedures. A pedicled omentum flap was chosen as a reconstructive option because of its rich blood supply, large surface area, and angiogenic capacity. This report aims to describe the use of the pedicled omentum flap for reconstruction of the lumbosacral area following surgical resection of a spinal tumour, when gluteal and abdominal flap options for reconstruction are jeopardised.

show abstract

A new technique for reconstruction of the avulsed scrotum: the ‘3D- prefabricated omental flap’

Cited by 7 publications

References 4 publications

Scrotal reconstruction with a free greater omental flap: A case report

Scrotal reconstruction with a free greater omental flap: A case report

The Effect of Scrotal Reconstruction With Skin Flaps and Skin Grafts on Testicular Function

Utility of the omentum in sacral reconstruction following total sacrectomy due to recurrent and irradiated giant cell tumour of the spine

Contact Info

Product

Resources

About