Management of perineal scar contracture with principles of plastic surgery
10.3760/cma.j.cn114453-20190524-00166
- VernacularTitle:会阴瘢痕挛缩的整形外科修复
- Author:
Jun FENG
1
;
Zhe YANG
;
Wen CHEN
;
Ning MA
;
Weixin WANG
;
Lisi XU
;
Qiyu LIU
;
Sen CHEN
;
Yangqun LI
Author Information
1. 中国医学科学院北京协和医学院整形外科医院整形二科 100144
- Keywords:
Perineal deformities;
Scar contracture;
Lengthening of penis;
Reconstruction of penis
- From:
Chinese Journal of Plastic Surgery
2021;37(11):1222-1226
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical manifestation and the plastic surgery principles of perineal scar contracture deformity.Methods:Patients with perineal deformities admitted to Plastic Surgery Hospital, Chinese Academy of Medical Sciences, were enrolled from January 1, 2010 to December 31, 2018. For the purpose of scar release, wound coverage, and organ defect reconstruction, we applied multiple plastic surgery methods such as tissue expansion techniques, penile lengthening, penile reconstruction, and anoplasty.Patients were followed-up for at least 6 months after operations. Urinary function, defecation function, range of joint motion, the appearance of perineum and the scar of the operation site were evaluated.Results:16 cases, aged 13 to 44 years old, were enrolled in our study and were successfully followed up for 1 to 10 years. There were no postoperative complications in 12 patients, and poor survival of partial flaps was shown in 4 patients, and the wound healed after dress-changing. Satisfactory results were obtained as self-maintenance, self-controllable urination, and defecation were restored.Conclusions:Following principles of subarea reconstruction in plastic surgery and using multiple plastic surgery methods, satisfactory results can be obtained in the repair of perineal scar contracture, which highly improves the life qualities of patients.
