Superiority of Medial Circumflex Femoral Artery Perforator Flap in Scrotal Reconstruction


Coskunfirat O. K., Uslu A., Cinpolat A., Bektas G.

ANNALS OF PLASTIC SURGERY, vol.67, no.5, pp.526-530, 2011 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 67 Issue: 5
  • Publication Date: 2011
  • Doi Number: 10.1097/sap.0b013e318208ff00
  • Journal Name: ANNALS OF PLASTIC SURGERY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.526-530
  • Keywords: medial circumflex femoral artery perforator flap, scrotal reconstruction, GRACILIS MUSCULOCUTANEOUS FLAP, FOURNIERS GANGRENE, FASCIOCUTANEOUS FLAP, HYPERBARIC-OXYGEN, THIGH FLAPS, DISEASE, GROIN, SKIN
  • Akdeniz University Affiliated: Yes

Abstract

Scrotal skin has unique cosmetic and functional features that make its reconstruction difficult. Coverage of the testicles and constituting a good cosmetic appearance are major expectations from a successful reconstruction. Usually flaps are the choice for scrotal reconstruction, but every single flap has its own characteristics. In our series, between January 2006 and January 2010, the medial circumflex femoral artery perforator flap was used in 7 male patients for scrotal coverage after Fournier gangrene. Six flaps were raised based on a single perforator from the gracilis muscle; however in one flap 2 perforators were used. Flaps were carried to the defect either by transposition or by V-Y advancement. Donor areas were closed directly in all patients, and stable scrotal coverage was achieved with an acceptable scrotal contour and cosmesis. No major complication was seen due the perforator flap surgery, in 2 patients wound dehiscence were noted and they healed by secondary intention or by secondary suturing. For scrotal reconstruction, the medial circumflex femoral artery perforator flap is a good option with its good mobility, thinness for scrotal contour, possibility for muscle preservation, and direct closure of the donor site. All these advantages can be accomplished in 1 procedure.