Postburn perineal obliteration: elimination of perineal, inguinal, and perianal contractures with the groin flap

Journal of Burn Care & Research : Official Publication of the American Burn Association
Viktor M Grishkevich

Abstract

Deep burns of the perineum result in perineal obliteration, hip adduction contracture, and limitation of hip range of motion. Bodily hygiene becomes difficult to maintain. Perineal obliteration is often combined with inguinal and perianal contractures and genitalia injury. These factors present a challenge for the surgeon. The extreme scar surface deficit and the fold absence in the perineal region do not allow contracture elimination with local tissues. As skin grafts shrink, success can be achieved only by using pedicled or free flaps. The groin flap is an excellent tissue for simultaneous perineal, inguinal, and anal reconstruction. In cases involving both perineal and inguinal contractures, two groin flaps can be used simultaneously. The groin flap has steady axis blood circulation that prevents postoperative complications. The donor wound is primarily closed or partially covered with superficial inferior epigastric artery flap (bilobed flap). Corrective procedure is required for "dog-ear" elimination. In children, the flap continues to grow, thus preventing contracture recurrence. Good results have been achieved in four operated patients. This allows one to make the following conclusion: In cases in which the abdominal wal...Continue Reading

References

Jul 1, 1990·The Journal of Burn Care & Rehabilitation·A A AlghanemD N Herndon
May 1, 1994·The Journal of Burn Care & Rehabilitation·G P PisarskiG D Warden
Jan 12, 2000·Burns : Journal of the International Society for Burn Injuries·E Ye
Jan 25, 2006·Annals of Plastic Surgery·Xiancheng WangAng Zeng
Jun 10, 2009·Journal of Burn Care & Research : Official Publication of the American Burn Association·Viktor M Grishkevich

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Citations

Feb 11, 2015·Annals of Plastic Surgery·Wai-Nang ChaoShiuan-Chih Chen
Apr 24, 2021·Journal of Burn Care & Research : Official Publication of the American Burn Association·Elizabeth ConcannonJohn E Greenwood

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