Reconstruction of infected and denuded scrotum and penis by combined application of negative pressure wound therapy and split-thickness skin grafting.
Trauma to the genital region and perineum can leave behind lifelong sequelae and pose significant challenges to surgeons in the restoration of functional ability and aesthetic status. Effective methods and techniques are indispensable during the treatment period. Negative pressure wound therapy (NPWT) is a widely accepted technique that is becoming a commonplace treatment in many clinical settings. The purpose of this case report was to introduce the efficacy of the concurrent usage of NPWT and split-thickness skin grafting (STSG) in the reconstruction of genital injuries. A man suffered a traffic accident that caused necrosis of the scrotum and penis associated with a severe infection caused by Pseudomonas aeruginosa and Enterobacter cloacea. After debridement, we adopted NPWT during the postoperative dressing changes and the application of meshed STSG. The outcomes showed that combination of NPWT and split-thickness skin grafts is safe, well-tolerated and efficient in the reconstruction of penoscrotal defects. This could be a versatile tool for reconstruction after perineal and penoscrotal trauma.
Burns and Plastic Reconstruction Unit, First Hospital of Jilin University, Changchun, Jilin province, People's Republic of China.
Jing-Chun
JC
Zhao
Chun-Jing
CJ
Xian
Jia-Ao
JA
Yu
Kai
K
Shi
D000063:Accidents, Traffic; D000328:Adult; D003131:Combined Modality Therapy; D003646:Debridement / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D054843:Negative-Pressure Wound Therapy / Q000379:methods*; D010413:Penis / Q000293:injuries / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D018570:Risk Assessment; D012611:Scrotum / Q000293:injuries / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods*; D013526:Surgical Mesh; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology; D014947:Wounds and Injuries / Q000175:diagnosis / Q000601:surgery