J Plast Surg | Volume 1, Issue 1 | Research Article | Open Access

Scrotal Reconstruction with Bilateral Superomedial Perforator Fasciocutaneous Thigh Flap

Mohamed Elyounsi and Mahmoud Abdelaal*

epartment of Plastic and Reconstructive Surgery, Assiut University Hospital, Egypt

*Correspondance to: Mahmoud Abdelaal 

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Objective: To describe using the Superomedial Fasciocutaneous Thigh Flap (SMFCTF) for scrotal reconstruction secondary to Fournier’s gangrene. Methods: It is a retrospective analysis of patients underwent scrotal reconstruction with SMFCTF, as a surgical management of Fournier’s gangrene in the period between 2018 and 2020, at our university hospital. Results: In the current series, eleven patients were included with a mean age 53.7 years (36 to 74). The skin loss estimation at the scrotal region ranged from 75% to 100%. The definitive reconstruction was performed on average 37.1 days (27 to 51) after the initial debridement. The reconstruction mean surgical time was 83 min (60 to 100). The reconstruction for 10 cases in our study was performed as one stage procedure. In the current study, complications were observed in three cases (27.3%). The wound dehiscence was recorded in two cases. Also, we faced one area of epitheliolysis which corrected medically. The total length hospital stay after reconstruction was 8.2 days (3 to 20). Conclusion: We can conclude that the use of SMFCTF is a versatile and reliable option for the reconstruction of scrotal and perineal defects post Fournier's gangrene, showing good functional and esthetic outcomes. The midline suturing of the two flaps leading to better aesthetic view which mimic to normal raphe of the scrotum.


Scrotal reconstruction; Superomedial fasciocutaneous thigh flap


Elyounsi M, Abdelaal M. Scrotal Reconstruction with Bilateral Superomedial Perforator Fasciocutaneous Thigh Flap. J Plast Surg. 2021;1(2):1006..

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