푸르니에 괴저 환자에서 유경 전외측 대퇴부 천공지 피판을 이용한 음낭 재건
Scrotal Reconstruction with Pedicled Anterolateral Thigh Perforator Flap in Fournier's Gangrene
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: We have many choices of surgical methods with scrotal reconstruction after Fournier’s gangrene. From the aesthetic perspective, the reconstruction method with anterolateral thigh perforator pedicled flap is better than other options. We report our experience with postoperative results and aesthetics of the anterolateral thigh perforator pedicled flap. Materials and Methods: From November 2011 to May 2013, 4 patients underwent anterolateral thigh perforator pedicled flaps. The authors checked the aesthetic results and occurrence of complications at follow-up exams.Results: There was no total or partial necrosis of flap among the four patients. The only complication was wound dehiscence followed by infection that healed secondarily during the follow-up period. Conclusions: Anterolateral thigh perforator pedicled flap is a very useful choice for surgery at the defect caused by Fournier’s gangrene because it is relatively thin, offering an excellent aesthetic result.
Abstract
Purpose: We have many choices of surgical methods with scrotal reconstruction after Fournier’s gangrene. From the aesthetic perspective, the reconstruction method with anterolateral thigh perforator pedicled flap is better than other options. We report our experience with postoperative results and aesthetics of the anterolateral thigh perforator pedicled flap. Materials and Methods: From November 2011 to May 2013, 4 patients underwent anterolateral thigh perforator pedicled flaps. The authors checked the aesthetic results and occurrence of complications at follow-up exams.Results: There was no total or partial necrosis of flap among the four patients. The only complication was wound dehiscence followed by infection that healed secondarily during the follow-up period. Conclusions: Anterolateral thigh perforator pedicled flap is a very useful choice for surgery at the defect caused by Fournier’s gangrene because it is relatively thin, offering an excellent aesthetic result.
참고문헌 (12)
- Ferreira PC, "Fournier's gangrene: a review of 43 reconstructive cases", Plast Reconstr Surg, 119, pp.175~184 (2007)
- Datubo-Brown DD, "Alternative techniques for scrotal reconstruction", Br J Urol, 65, pp.115~117 (1990)
- McAninch JW., "Management of genital skin loss", Urol Clin North Am, 16, pp.387~397 (1989)
- Tiwari IN, "Reconstruction of the scrotum by thigh flaps", Plast Reconstr Surg, 66, pp.605~607 (1980)
- Westfall CT, "Scrotal reconstruction utilizing bilateral gracilis myocutaneous flaps", Plast Reconstr Surg, 68, pp.945~947 (1981)
- 이승렬, "유방외 파제트병의 제거 후 발생한 음경-음낭부 결손의 다양한 국소피판을 이용한 재건", Archives of Plastic Surgery, 34(6), pp.753~758 (2007), 대한성형외과학회
- 김병준, "유경 전외측 대퇴부 천공지피판을 이용한 음낭재건", Archives of Plastic Surgery, 36(3), pp.348~350 (2009), 대한성형외과학회
- Yu P, "Anterolateral thigh fasciocutaneous island flaps in perineoscrotal reconstruction", Plast Reconstr Surg, 109, pp.610~616 (2002)
- Hallock GG, "Scrotal reconstruction following Fournier's gangrene using the medial thigh fasciocutaneous flap", Ann Plast Surg, 24, pp.86~90 (1990)
- Kim KS, "Thin paraumbilical perforator-based cutaneous island flap for scrotal resurfacing", Plast Reconstr Surg, 108, pp.447~451 (2001)
- Spyriounis PK, "The extended approach to the vascular pedicle of the anterolateral thigh perforator flap: anatomical and clinical study", Plast Reconstr Surg, 117, pp.997~1001 (2006)
- Lannon DA, "Versatility of the proximally pedicled anterolateral thigh flap and its use in complex abdominal and pelvic reconstruction", Plast Reconstr Surg, 127, pp.677~688 (2011)