Anterolateral Thigh Flap With Vascularized Fascia Lata Associated With Thigh Flaps: A Case Report of an All-in-One Reconstruction of the Suspensory Ligament and Penoscrotal District After Fournier Gangrene.
作者： Martino Guiotto , William Watfa , Wassim Raffoul , Pietro Giovanni di Summa , None
DOI: 10.1097/SAP.0000000000002533
关键词: Suspensory ligament 、 Surgery 、 Fournier gangrene 、 Fascia lata 、 Tendon 、 Abdominal wall 、 Debridement 、 Medicine 、 Thigh 、 Medial compartment of thigh
摘要: Radical surgical debridement after Fournier gangrene (FG) can totally change anatomical balance between structures and compromise urogenital function. This is particularly true when the suspensory ligament lower abdominal wall are involved, leading to erection sexual intercourse dysfunction.We present case of a 48-year-old man, who underwent emergency split-thickness skin graft (STSG) inferior wall, pubis, scrotal bag penile shaft gangrene.Five months procedure, bilateral medial thigh flaps recreated compartment, whereas pedicled composite anterolateral flap including fascia lata could cover rebuilt (PSL).Healing was uneventful patient returned normal life with satisfactory intercourse.Composite and/or chimeric have been previously used as reliable option for complex defects, tendon ligaments. We describe here, first in literature reconstruction.
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