Reconstruction of infected and denuded scrotum and penis by combined application of negative pressure wound therapy and split‐thickness skin grafting

Abstract

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.

Plastic and Reconstructive Surgery in the Treatment of Oncological Perineal and Genital Defects

“…Two-stage reconstruction has some disadvantages in such cases. Secondary reopening of the abdomen carries a lot of risks, like discrete intestinal loops that are easily being injured during dissection, e.g., interim negative wound pressure therapy is a possible option, but carries the risk for chronic fistulas through the continuous negative pressure ( 34 ), hence single-stage reconstruction is strongly recommended under these circumstances.…”

Reconstruction of massive skin avulsion of the scrota and penis by combined application of dermal regeneration template (Pelnac) and split-thickness skin graft with vacuum-assisted closure: A case report

“…The main complications include infection, hematoma, seroma and improper mobilization. In the hope of reducing these unfavorable factors, we adopted vacuum-assisted closure which has been confirmed to be effective[12,21] throughout the whole repair procedure. Considering the dirty environment in which the accident occurred, we decided to reconstruct the defect in three steps which proved to be a practical and successful strategy.…”

Traumatic Degloving Injury of Penile and Scrotal Skin: A Case Report and Review of Literature

“…Split-thickness skin graft is safe, well-tolerated and efficient in the reconstruction of penoscrotal defects [23]. This technique is simple, does not involve multistage procedures and can be done by relatively inexperienced surgeons.…”