PEDICLED ANTEROLATERAL THIGH FLAP AS A COVER FOR RECONSTRUCTION OF POST FOURNIER’S GANGRENE SCROTAL DEFECTS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 28
Abstract
BACKGROUND Fournier’s gangrene is an acute and potentially lethal necrotizing fasciitis that involves the scrotum and perineum. This disease can result in the extensive loss of skin and soft tissues of the perineoscrotal area with exposure of the testes. To reconstruct the large scrotal and perineal defects remains a surgical challenge. Various techniques have been described for the reconstruction of these defects such as split thickness grafts, muscle flap (ex: gracilis muscle) and fasciocutaneous flaps, (ex: pudendal), perineal flap, deep inferior epigastric perforator flap, anteromedial thigh flap and anterolateral thigh flap. We intend to study the results of Pedicled Anterolateral Thigh Flap procedure in patients with scrotal defect following Fournier’s gangrene. METHODS Pedicled Anterolateral Thigh Flap was used in reconstruction of 8 cases of scrotal defects following Fournier’s gangrene, admitted in Plastic & Reconstructive Surgery department, Sri Venkateswara Medical College, Tirupati. The study was conducted between June 2016 to June 2019. All patients were followed postoperatively for 3-6 months. RESULTS All flaps survived well. Donor sites healed well except one patient with infection in donor site suture line which was treated conservatively. CONCLUSIONS Pedicled Anterolateral Thigh Flap is a reliable fasciocutaneous flap which can be done in a reasonably short period of time to cover scrotal defects following Fournier’s gangrene with excellent results and good aesthesis.
Authors and Affiliations
Ravuri Baburao, Sura Sirisha
Keywords
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- EP ID EP668621
- DOI 10.18410/jebmh/2019/387
- Views 61
- Downloads 0
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