[Application of a lateral groin flap in reconstructive and reparative surgery of the perineal region].
Since March 1983, the authors have applied three types of lateral groin flap to reconstruct the external genitals and to repair skin defects in the perineal region in 16 cases. (1) A single lateral groin flap was used to construct vagina in two patients; (2) A composite flap containing iliac crest bone was applied to reconstruct penis in 11 cases; (3) A coaxial pedicle flap of the lateral groin and lower abdominal area was used to repair skin defects of the penis and scrotum in two cases, and to relieve postburn scar contracture in the perineal region in another. 14 flaps survive completely with satisfactory results. 70 per cent of 1 composite flap was lost because of hematoma. The distal portion (3 x 5 cm) of 1 single flap necrosed due to injury of the deep branch of SCIA during operation and resurfaced with a free skin graft, final result is fair.
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D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D010413:Penis / Q000002:abnormalities / Q000293:injuries* / Q000601:surgery; D012086:Reoperation; D013524:Surgical Flaps; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery