Large scrotal avulsion injuries reconstructed by deep inferior epigastric artery perforator flaps
10.3760/cma.j.cn114453-20200223-00070
- VernacularTitle:腹壁下动脉穿支皮瓣修复大面积阴囊撕脱伤
- Author:
Jiaomiao PEI
1
;
Baoqiang SONG
;
Yan HAN
;
Zhaoxiang ZHANG
;
Juan ZHANG
Author Information
1. 空军军医大学西京医院整形外科，西安 710032
- Keywords:
Scrotum;
Perforator flap;
Epigastric arteries;
Avulsion injury
- From:
Chinese Journal of Plastic Surgery
2021;37(3):275-280
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the applications of deep inferior epigastric artery perforator (DIEP) flaps in the repair of scrotal avulsions and provide the reference for reconstructions of large soft tissue defects in the scrotum.Methods:The reconstructions of five cases in large scrotal skin and soft tissue avulsion injuries by DIEP flaps in Xijing Hospital, Air Force Medical University from October 2010 to December 2016 were retrospectively analyzed and summarized. The patients were 3 to 24 years old with an average age of 14.6. The defects of the scrotum and adjacent areas were ranged from 11 cm×6 cm to 25 cm×12 cm.Results:Blood supplies of all transferred flaps were good, and there was no serious complication observed, such as abdominal hernia, hematoma, and infection in the donor or recipient sites. Patients were followed up for 12 to 24 months. The scrotum’s appearances and functions in four cases were good, with a high patient satisfaction level. One case with swelling was obtained good results after a subsequent defatting procedure. The sensation of flaps partially recovered six months later.Conclusions:Thinned DIEP flaps provided sufficient tissue volumes for repairing large defects of the scrotal, which provided reliable blood flow and strong anti-infection capacity. The flap tissues could protect the scrotal contents. These advantages improved the patients’ satisfaction postoperatively. The thinned DIEP flap is a feasible choice to repair large defects of the scrotum.
