RECONSTRUCTION OF SCROTAL WALL DEFECT USING GRACILIS MUSCLE PEDICLED FLAP: A CASE SERIES

Dr. Nilesh Ghelani; Dr. Sankit Shah; Dr. Darshil Rajgor; Dr. Shukan Kapadia

Volume : VIII, Issue : IX, September - 2019

RECONSTRUCTION OF SCROTAL WALL DEFECT USING GRACILIS MUSCLE PEDICLED FLAP: A CASE SERIES

Dr. Nilesh Ghelani, Dr. Sankit Shah, Dr. Darshil Rajgor, Dr. Shukan Kapadia

Abstract :

Background: Scrotal defect is attributed to multiple causes, most common being Fournier‘s gangrene. No classical road map for scrotal wall reconstruction has been described. In this study we evaluated scrotal reconstruction with pedicled gracilis flap & skin grafting. Methods: From September 2018 to June 2019, 5 patients underwent scrotal reconstruction with pedicled gracilis flap. All the cases were due to Fournier�s gangrene except one which was post traumatic. All patients underwent early surgical deidement followed by reconstruction with a gracilis muscle flap. The characteristics of defects of patients were studied and satisfaction was assessed. Results: All patients recovered well. One patient developed wound dehiscence at scrotum. No haematoma formation was seen. Partial flap necrosis was observed in one case. One patient developed donor site abscess. Conclusions: Scrotal Reconstruction through pedicled gracilis flap is an aesthetically acceptable & satisfying method.