title: Reconstruction of perineoscrotal and vaginal defects with pedicled anterolateral thigh flap.
abstract: OBJECTIVE
  To present a series of perineoscrotal and vaginal defects reconstruction with the use of anterolateral thigh flap.
  
  
  METHODS
  We present a series of 11 patients in whom we used pedicled thigh flaps (10 anterolateral thigh flaps and 1 anteromedial thigh flap) to cover defects of perineum, scrotum, and vagina. Ten patients had perineoscrotal defects and 1 patient had vaginal agenesis.
  
  
  RESULTS
  Age group ranged from 26 to 79 years. The size of the flaps ranged from 105 cm² to 220 cm². The vascular pedicle length ranged from 10 cm to 12 cm. Stable closure was achieved in every patient. There were no complications from the donor site. In 1 patient, we found only 1 perforator at the superomedial edge of the flap that originated from the medial circumflex femoral artery; hence, in this patient, we used an anteromedial thigh flap as a salvage procedure.
  
  
  CONCLUSIONS
  With versatility in their design and low donor site morbidity, these flaps present an option in the armamentarium of the reconstructive surgeon for the coverage of defects at the perineoscrotal and vaginal area.
authors.affiliation: Clinic of Plastic and Reconstructive Surgery, Aristotle University of Thessaloniki Papageorgiou University Hospital, Thessaloniki, Greece.
authors.forename: Georgia-Alexandra
authors.initials: GA
authors.lastname: Spyropoulou
authors.forename: Seng-Feng
authors.initials: SF
authors.lastname: Jeng
authors.forename: Efterpi
authors.initials: E
authors.lastname: Demiri
authors.forename: Alexandros
authors.initials: A
authors.lastname: Dionyssopoulos
authors.forename: Kuan-Ming
authors.initials: KM
authors.lastname: Feng
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D018934:Fournier Gangrene / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010409:Penile Diseases / Q000601:surgery; D061525:Perforator Flap; D010502:Perineum / Q000601:surgery*; D012611:Scrotum / Q000601:surgery*; D019738:Surgically-Created Structures; D013848:Thigh / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities / Q000601:surgery*