Abstract
BackgroundScrotal defects in developing countries are common challenges for the reconstructive surgeon and hence this work has been done with the aim to compare the outcome, advantages and disadvantages of different modalities of scrotal reconstruction.MethodsThe prospective observational hospital-based study of reconstruction of scrotal defects following trauma and Fournier’s gangrene was done over a period of three years. Scrotal defect reconstruction was done in 35 patients by scrotal advancement flap, split thickness skin grafting, medial thigh flap, anterolateral thigh flap and groin flap keeping in mind the various indication of different modalities. The reconstructed scrotums were observed for flap survival and skin graft intake for seven to 10 days in the hospital and then were followed for three months in a follow-up clinic.Results and observationsThe mean age of our patients was 48.57±5.01 years. Most of the soft tissue defects of the scrotum were post-traumatic (83%). Scrotal reconstruction was done often by flaps and more frequently used flap for reconstruction of scrotum was scrotal advancement flap. All flaps and grafts survived well. Mean hospitalization time was highest for groin flap cover whereas mean operative time was highest for anterolateral thigh flap cover.ConclusionEvery case of scrotal defect needs an individual approach for scrotal reconstruction depending upon patient age, general condition of the patient, wound status, and the patient’s requirement.
Highlights
Trauma and Fournier’s gangrene can cause significant soft tissue loss involving the scrotum, penis and thighs
Mean hospitalization time was highest for groin flap cover whereas mean operative time was highest for anterolateral thigh flap cover
Scrotal defects in developing countries are a common challenge to the reconstructive surgeon and this work has been done with the aim to compare the outcome, advantages and disadvantages of different modalities of scrotal reconstruction
Summary
Trauma and Fournier’s gangrene can cause significant soft tissue loss involving the scrotum, penis and thighs. The soft tissue coverage of scrotal defects and exposed testes is vital for the protection of testicular function and sparing the sexual wellbeing of the person. Various reconstructive procedures are split thickness skin grafting and flaps. Trauma is the leading cause of soft tissue loss of the scrotum worldwide, in developing countries Fournier’s gangrene is still contributing to a significant proportion of soft tissue loss of the scrotum. Fournier’s gangrene is a rapidly progressive, fatal, necrotizing fasciitis involving skin and soft tissue of the scrotum and perineum. Scrotal defects in developing countries are common challenges for the reconstructive surgeon and this work has been done with the aim to compare the outcome, advantages and disadvantages of different modalities of scrotal reconstruction
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
