Mello Daniel Francisco, Helene Júnior Americo
Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.
Rev Col Bras Cir. 2018;45(1):e1389. doi: 10.1590/0100-6991e-20181389. Epub 2018 Feb 15.
to describe the use of a superomedial fasciocutaneous thigh flap for scrotal reconstruction in open areas secondary to the surgical treatment of perineal necrotizing fasciitis (Fournier's gangrene).
retrospective analysis of cases treated at the Plastic Surgery Service of Santa Casa de Misericórdia, São Paulo, from 2009 to 2015.
fifteen patients underwent scrotal reconstruction using the proposed flap. The mean age was 48.9 years (28 to 66). Skin loss estimates in the scrotal region ranged from 60 to 100%. Definitive reconstruction was performed on average 30.6 days (22 to 44) after the initial surgical treatment. The mean surgical time was 76 minutes (65 to 90) to obtain the flaps, bilateral in all cases. Flap size ranged from 10cm to 13cm in the longitudinal direction and 8cm to 10cm in the cross-sectional direction. The complication rate was 26.6% (four cases), related to the occurrence of segmental and partial dehiscence.
the superomedial fasciocutaneous flap of thigh is a reliable and versatile option for the reconstruction of open areas in the scrotal region, showing adequate esthetic and functional results.
描述采用股内侧筋膜皮瓣修复因会阴坏死性筋膜炎（福尼尔坏疽）手术治疗后阴囊开放性创面的应用情况。
回顾性分析2009年至2015年圣保罗慈善医院整形科治疗的病例。
15例患者采用该皮瓣进行阴囊重建。平均年龄48.9岁（28至66岁）。阴囊区域皮肤缺损估计范围为60%至100%。初次手术治疗后平均30.6天（22至44天）进行确定性重建。获取皮瓣的平均手术时间为76分钟（65至90分钟），所有病例均为双侧。皮瓣纵向尺寸为10厘米至13厘米，横向尺寸为8厘米至10厘米。并发症发生率为26.6%（4例），与节段性和部分裂开的发生有关。
股内侧筋膜皮瓣是阴囊区域开放性创面重建的一种可靠且通用的选择，具有良好的美学和功能效果。
