Gracilis Muscle and Myocutaneous Flap

Abstract

Gracilis muscle is type II muscle flap. Total 16 cases were operated on with Gracilis muscle or myocutaneous flap. Group A – loss of scrotal skin following Fournier’s gangrene. Group B - Traumatic avulsion of the scrotal skin, Group C – Anal incontinence following Surgical repair of imperforate anus. Group D – Carcinoma penis operated for total amputation of the penis. Amputation of the penis. All the patients from Group A did well except for necrosis at the margin of the flaps in two patients. In Group B patient did well without any complication in Group C Three out of five patients did well. Two patients were still incontinent. In Group D, the first patient had a good flap for seven days. Later there was discolouration and on a ninth day, there was complete discolouration of the skin pedicle. Debridement was done, the muscle underneath was viable. A split-thickness skin graft was applied. The graft takes up was good. Within 10 days the muscle contracted too much an extent that the size of the phallus became almost nil.