Abstract

RAMIREZ ANTUNEZ, Pablo; ALDANA, Celso; PENA, Adriana  and  BERRA, Pablo. Scrotal reconstruction with bilateral gracilis muscle pedicled flap and split-thickness skin graft. An. Fac. Cienc. Méd. (Asunción) [online]. 2023, vol.56, n.1, pp.103-108. ISSN 1816-8949.  https://doi.org/10.18004/anales/2023.056.01.103.

Defects in the scrotal region are caused in most cases by Fournier's gangrene, and sometimes by trauma or oncological pathologies.

These wounds generate difficulties for the development of a normal life; They usually produce pain; the testicles are unprotected and spermatogenesis can be altered.

Currently there is no standard method of scrotal reconstruction, and the techniques traditionally used do not offer functional or aesthetic coverage. They generally produce a big bulge in the genital region, which can make it hard to move the legs and wear pants.

A surgical option is exposed to reconstruct the scrotum, by means of the bilateral gracilis muscle pedicled flap and split-thickness skin graft. For this purpose, a clinical case of a 64-year-old patient with sequelae in the perineal region, after Fournier's gangrene, is presented. The patient presented a total loss of the scrotum and exposure of both testicles.

The method mentioned above is a valid option to reconstruct the scrotum and the technique used is described in detail, where it can be seen that it is easy to reproduce by a trained plastic surgeon.

Keywords : reconstruction; scrotum; gracilis muscle..

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