Turkish Journal of Plastic Surgery

ORIGINAL ARTICLE
Year
: 2018  |  Volume : 26  |  Issue : 3  |  Page : 116--121

Medial thigh flap: An eminent method of reconstruction of scrotal defect following fournier俟Q製 gangrene


Imran Ahmad, Rajesh Kumar Maurya, Ali Adil Mahmud, Brajesh Pathak, Sudheer Kumar Maurya, Agrawal Lalit Harswarup 
 Department of Plastic and Reconstructive Surgery, JNMCH, Aligarh, Uttar Pradesh, India

Correspondence Address:
Rajesh Kumar Maurya
Flat No. 301, Ohad Homes Welfare Society Apartment, Medical Road, Zakaria Market, Aligarh 202 001, Uttar Pradesh
India

Background and Objectives: Fournier俟Q製 gangrene is a rare, rapidly progressive, fulminant form of necrotizing fasciitis of the genital, perianal, and perineal regions. It is characterized by progressive spread of necrosis in the skin and subcutaneous tissue which results in defects of various sizes in perineal region. Various techniques have been described for the reconstruction of these defects such as split thickness skin grafts, muscle flaps (e.g., Gracilis flap), and fasciocutaneous flaps (e.g., pudendal flap), perineal flap, anterolateral thigh flap, deep inferior epigastric perforator flap, and anteromedial thigh flap. We intend to study the results of medial thigh flap procedure in patients with scrotal defect following Fournier俟Q製 gangrene. Materials and Methods: Medial thigh flap was performed in eight patients with Fournier俟Q製 gangrene. The patients were selected consecutively from December 2016 to December 2017. All patients were followed for 3-6 months postoperatively. Results: All flaps survived well. However, in two cases, there was partial distal necrosis. Both cases were managed conservatively. In all cases, donor site healed well except for one case in which infection of the donor site suture line occurred. It was managed by frequent dressing. Interpretation and Conclusions: The medial thigh flap is a reliable fasciocutaneous flap which can be done in reasonably short operative time to cover difficult defects with excellent results.


How to cite this article:
Ahmad I, Maurya RK, Mahmud AA, Pathak B, Maurya SK, Harswarup AL. Medial thigh flap: An eminent method of reconstruction of scrotal defect following fournier's gangrene.Turk J Plast Surg 2018;26:116-121


How to cite this URL:
Ahmad I, Maurya RK, Mahmud AA, Pathak B, Maurya SK, Harswarup AL. Medial thigh flap: An eminent method of reconstruction of scrotal defect following fournier's gangrene. Turk J Plast Surg [serial online] 2018 [cited 2020 May 27 ];26:116-121
Available from: http://www.turkjplastsurg.org/article.asp?issn=1300-6878;year=2018;volume=26;issue=3;spage=116;epage=121;aulast=Ahmad;type=0