Application of rotational skin flap in repairing skin and soft tissue defects in the perineum
10.3760/cma.j.cn431274-20240313-00417
- VernacularTitle:旋转皮瓣在会阴部皮肤软组织缺损修复中的应用
- Author:
Shihui LYU
1
;
Peifeng LI
;
Jian WANG
;
Hailei GUO
;
Ke TAO
;
Shenghu DU
Author Information
1. 温州医科大学附属第一医院泌尿外科，温州 325000
- Keywords:
Perineum;
Rotational flap;
Soft tissue defects;
Paget′s disease;
Urethral stricture
- From:
Journal of Chinese Physician
2024;26(3):345-348
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of rotating skin flap in the repair of skin and soft tissue defects in the perineum.Methods:A retrospective analysis was conducted on the data of 9 patients with perineal soft tissue defects treated in the Department of the First Affiliated Hospital, Wenzhou Medical University from January 2022 to March 2024. Among them, 8 cases were soft tissue defects after extensive resection of Paget′s disease in the perineum, and 1 case was soft tissue defects after treatment of severe urethral stricture. The defect area ranged from 4 cm×1.5 cm to 30 cm×35 cm, and all wounds were repaired with rotating skin flaps, For patients with excessive area, rotating skin flaps were used to cover important areas, combined with autologous skin and artificial skin to cover the remaining wounds. Patients with urethral stricture were treated with free oral mucosal reconstruction of the urethra combined with rotational skin flap coverage. The donor site was directly sutured or autologous skin was transplanted.Results:After surgery, the recipient skin flaps of 9 patients survived and the donor area healed. After a follow-up of 9-15 months, the skin flap survived well, with skin color approaching normal, and the donor site wound healed well. Eight patients with Paget′s disease did not show any recurrence, among which one patient with extensive wound expansion had good recovery of the perineal skin flap coverage area, and small-scale chronic ulcers appeared in the skin graft area. The skin flap of the patient with urethral stricture had recovered well, and the shape of the penis was good, without any urethral stricture, urinary fistula, sinus tract, etc.Conclusions:The rotational skin flap has a clear therapeutic effect on perineal soft tissue defects and is suitable for repairing perineal skin and soft tissue defects.
