Article Details

Two Stage Repair Using Lateral Avancement Flaps (Skin and Fat) for Medium-Large Perineal Defects

[ ISSN : 3067-9931 ]

Abstract

Pérez Lara FJ1*, Ferrer Berges A2 , Hernández González JM1 , Espejo Reina MJ3 and Oliva Muñoz H4

1Service of Surgery, Antequera Hospital, Spain

2Service of Plastic Surgery, Malaga Universitary Hosptial, Spain

3Service of Traumatology, Antequera Hospital, Spain

4Chief of Surgery Service, Surgery Service, Antequera Hospital, Spain

Corresponding Author:

Francisco Javier Pérez Lara, Digestive

Surgeon, Antequera Hospital, Avda

Poeta Muñoz Rojas sn, C.P. 29200,

Spain, Tel: 637322133; Fax: 952032700;

Keywords:

Abstract

We present the case of a 40-year-old man treated for Fournier gangrene. After the resection of necrotic tissues, a large perineal defect remained, extending to the left inguinal area (Figure 1A). A two-stage repair was performed, using lateral advancement flaps, with the detachment of skin and fat. In the first stage, lateral flaps of skin and subcutaneous tissue were detached from the posterior perineum for advancement and closure, and brought towards the anterior perineal area (Figure 1B), in preparation for the second stage, in which complete closure was achieved, applying the same technique (lateral skin-and-fat flaps) (Figure 1C).

Citation

Lara PFJ, Berges FA, González HJM, Reina EMJ and Muñoz OH. Two Stage Repair Using Lateral Avancement Flaps (Skin and Fat) for Medium-Large Perineal Defects. SM J Surg. 2016; 2(1): 1006.

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Received: 15-Nov-2016

Accepted: 26-Nov-2016

Published: 02-Dec-2016