Buja Zejnë
Department of Plastic Surgery, University Clinical Center of Kosovo, Pristina, Kosovo.
UBT College, Pristina, Kosovo.
SAGE Open Med Case Rep. 2024 Mar 28;12:2050313X241242593. doi: 10.1177/2050313X241242593. eCollection 2024.
Necrotizing fasciitis is one of the most serious and deadly infections in surgery. The tissue defects that result after a severe infection with necrotizing fasciitis are often not easy to resolve surgically. The importance of this article is to show the reconstructive efficacy of the lotus petal flap based on two perforators. We present a 71-year-old female case with necrotizing fasciitis infection and defect of the region of the vulva (labia major) and perineum. We solved the reconstruction of the defect of the lower half of the labia major and the perineum, on the left side, by raising a fascio-cutaneous lotus petal flap along the gluteal fold, based on two perforators. Considering that the necrotizing fasciitis infection is very serious, it is also accompanied by large soft tissue defects. Raising the flap based on two perforators gives it greater vascular security and, at the same time, greater success in survival. We can conclude that the reconstruction of defects of the vulva and perineum with a lotus petal flap is a satisfactory solution and acceptable to the patient.
坏死性筋膜炎是外科手术中最严重、最致命的感染之一。严重感染坏死性筋膜炎后导致的组织缺损通常难以通过手术解决。本文的重要性在于展示基于两个穿支血管的莲花瓣皮瓣的重建效果。我们报告一例71岁女性，患有坏死性筋膜炎感染，外阴（大阴唇）和会阴区域出现缺损。我们通过沿臀褶掀起一块基于两个穿支血管的筋膜皮瓣莲花瓣，解决了左侧大阴唇下半部和会阴缺损的重建问题。考虑到坏死性筋膜炎感染非常严重，同时伴有大面积软组织缺损。基于两个穿支血管掀起皮瓣可使其具有更高的血管安全性，同时提高存活成功率。我们可以得出结论，用莲花瓣皮瓣重建外阴和会阴缺损是一种令人满意的解决方案，患者也可接受。
