EVALUATION OF SCROTAL RECONSTRUCTION WITH THIGH FLAP IN CASE OF MAJOR SCROTAL SKIN LOSS
Dr. Md. Bani Amin*, Dr. Md. Zahangir Alam, Dr. Milan Kumar Saha, Dr. Most. Fatema Khatun and Dr. Joyanti Biswas
Background: Avulsion of the skin of the scrotum and penis is an uncommon injury, which in addition to obvious physical deformity can lead to significant psychological and emotional distress. Scrotal skin loss may occur due to external trauma, burns, infections, self-mutilation, constrictive devices, and lymphedema. Objective: The study is aimed to describe the outcome of thigh flap for reconstruction of major scrotal skin loss patient admitted in a tertiary care hospital. Methods: This was Prospective observational study. This study was carried out Department of Burn and Plastic Surgery in Khulna Medical College & Hospital six months period after approval of protocol. Patient who were admitted in KMCH with major scrotal skin loss. Due to shortage of time and resource constraints, total 20 study population were included for the study. Result: A total of twenty cases of major scrotal skin loss were studied during last six-month duration of the study. The most common organism isolated was Bacteroides found in 7 patients (41.2%). This was followed by streptococci (29.4%), Prevotella (29.4%), Staphylococci (23.5%) and E. coli (23.5%). See table 2 for more details. All the flaps survived completely except flap tip necrosis occurred in two case (8.33%) and minor wound infection occurred in three case (12.50%) both of which were improved with conservative treatment. Conclusion: Several techniques were practiced for scrotal reconstruction including thigh flap in case of major scrotal skin loss. In this study, fournier’s gangrene was the most common of cause of major scrotal skin loss.
Keywords: Scrotal skin, Traumatic Avulsions, Skin Graft.
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