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Penoscrotal reconstruction with superficial circumflex iliac artery perforator propeller flap.

Abstract

BACKGROUND

Successful penoscrotal reconstruction requires proper resurfacing of the defect and maintenance of the original shape of the penis and scrotum. We examined the feasibility of using the superficial circumflex iliac artery perforator (SCIP) propeller flap to effectively reconstruct penoscrotal defects.

METHODS

Eleven male patients with an average age of 62.2 years were retrospectively evaluated. The average defect size was 21.3 × 10.5 cm2 (range: 10 × 8-24 × 16 cm2). An eccentrically located elliptical flap was constructed using a handheld Doppler device after detecting the perforator as the pivot point. The medial branch of the superficial circumflex iliac artery was used for all cases. Flaps were designed to cover 70-80% of the defect area and the average rotation arc was 165°.

RESULTS

The average flap dimension was 19.7 × 7.7 cm2 . Two cases showed partial necrosis in the flap tip area. There were no instances of total flap loss or lymphorrhea, or complications such as scar contracture, urination problems, erectile dysfunction, or discomfort during intercourse.

CONCLUSIONS

The SCIP flap is an effective and ideal method for penoscrotal reconstruction considering the loose, elastic, and thin nature of the tissue. Elevation is easily facilitated, and the thickness of the SCIP flap can be adjusted without microsurgery.

Authors+Show Affiliations

Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea.Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31433073

Citation

Han, Hyun Ho, et al. "Penoscrotal Reconstruction With Superficial Circumflex Iliac Artery Perforator Propeller Flap." Microsurgery, 2019.
Han HH, Ahn MR, Lee JH. Penoscrotal reconstruction with superficial circumflex iliac artery perforator propeller flap. Microsurgery. 2019.
Han, H. H., Ahn, M. R., & Lee, J. H. (2019). Penoscrotal reconstruction with superficial circumflex iliac artery perforator propeller flap. Microsurgery, doi:10.1002/micr.30506.
Han HH, Ahn MR, Lee JH. Penoscrotal Reconstruction With Superficial Circumflex Iliac Artery Perforator Propeller Flap. Microsurgery. 2019 Aug 21; PubMed PMID: 31433073.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Penoscrotal reconstruction with superficial circumflex iliac artery perforator propeller flap. AU - Han,Hyun Ho, AU - Ahn,Ma Rip, AU - Lee,Jung Ho, Y1 - 2019/08/21/ PY - 2018/12/11/received PY - 2019/07/18/revised PY - 2019/08/09/accepted PY - 2019/8/22/entrez JF - Microsurgery JO - Microsurgery N2 - BACKGROUND: Successful penoscrotal reconstruction requires proper resurfacing of the defect and maintenance of the original shape of the penis and scrotum. We examined the feasibility of using the superficial circumflex iliac artery perforator (SCIP) propeller flap to effectively reconstruct penoscrotal defects. METHODS: Eleven male patients with an average age of 62.2 years were retrospectively evaluated. The average defect size was 21.3 × 10.5 cm2 (range: 10 × 8-24 × 16 cm2). An eccentrically located elliptical flap was constructed using a handheld Doppler device after detecting the perforator as the pivot point. The medial branch of the superficial circumflex iliac artery was used for all cases. Flaps were designed to cover 70-80% of the defect area and the average rotation arc was 165°. RESULTS: The average flap dimension was 19.7 × 7.7 cm2 . Two cases showed partial necrosis in the flap tip area. There were no instances of total flap loss or lymphorrhea, or complications such as scar contracture, urination problems, erectile dysfunction, or discomfort during intercourse. CONCLUSIONS: The SCIP flap is an effective and ideal method for penoscrotal reconstruction considering the loose, elastic, and thin nature of the tissue. Elevation is easily facilitated, and the thickness of the SCIP flap can be adjusted without microsurgery. SN - 1098-2752 UR - https://www.unboundmedicine.com/medline/citation/31433073/Penoscrotal_reconstruction_with_superficial_circumflex_iliac_artery_perforator_propeller_flap L2 - https://doi.org/10.1002/micr.30506 DB - PRIME DP - Unbound Medicine ER -