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Scrotal reconstruction with a free greater omental flap: A case report
Author(s) -
Ng Darren,
Tang Cheuk B.,
Kadirkamanathan Sritharan S.,
Tare Makarand
Publication year - 2010
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.20763
Subject(s) - medicine , surgery , microsurgery , greater omentum , anastomosis , free flap , gangrene , plastic surgery , inguinal canal , skin flap , hernia , inguinal hernia
We report a case of Fournier's gangrene, where we used the greater omentum as a free flap for scrotal reconstruction and outline the advantages over previously described methods. The greater omentum was harvested using a standard open technique. The deep inferior epigastric vessels were passed through the inguinal canal into the scrotal area as recipient vessels. The detached greater omental flap was prefabricated into a three‐dimensional sac prior to inset and microvascular anastomoses. The flap was then covered by skin graft. The reconstruction had shown good early results with complete survival of the flap, as well as good functional and esthetic outcome at six months. The greater omentum can therefore be used as a free flap for scrotal reconstruction. It allows easy prefabrication and flap inset. The deep inferior epigastric vessels are also suitable recipient vessels. © 2010 Wiley‐Liss, Inc. Microsurgery 30:410–413, 2010.