Lotus petal flap reconstruction of labia major and perineum after necrotizing fasciitis infection: A case report

Necrotizing fasciitis is one of the most serious and deadly infections in surgery. The tissue defects that result after a severe infection with necrotizing fasciitis are often not easy to resolve surgically. The importance of this article is to show the reconstructive efficacy of the lotus petal fla...

Cijeli opis

Bibliografski detalji
Glavni autor: Zejnë Buja
Format: Članak
Jezik:English
Izdano: SAGE Publishing 2024-03-01
Serija:SAGE Open Medical Case Reports
Online pristup:https://doi.org/10.1177/2050313X241242593
_version_ 1827301689609158656
author Zejnë Buja
author_facet Zejnë Buja
author_sort Zejnë Buja
collection DOAJ
description Necrotizing fasciitis is one of the most serious and deadly infections in surgery. The tissue defects that result after a severe infection with necrotizing fasciitis are often not easy to resolve surgically. The importance of this article is to show the reconstructive efficacy of the lotus petal flap based on two perforators. We present a 71-year-old female case with necrotizing fasciitis infection and defect of the region of the vulva (labia major) and perineum. We solved the reconstruction of the defect of the lower half of the labia major and the perineum, on the left side, by raising a fascio-cutaneous lotus petal flap along the gluteal fold, based on two perforators. Considering that the necrotizing fasciitis infection is very serious, it is also accompanied by large soft tissue defects. Raising the flap based on two perforators gives it greater vascular security and, at the same time, greater success in survival. We can conclude that the reconstruction of defects of the vulva and perineum with a lotus petal flap is a satisfactory solution and acceptable to the patient.
first_indexed 2024-04-24T16:31:36Z
format Article
id doaj.art-7295a88742fc45b881d26cb0c7c5481d
institution Directory Open Access Journal
issn 2050-313X
language English
last_indexed 2024-04-24T16:31:36Z
publishDate 2024-03-01
publisher SAGE Publishing
record_format Article
series SAGE Open Medical Case Reports
spelling doaj.art-7295a88742fc45b881d26cb0c7c5481d2024-03-30T03:04:57ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2024-03-011210.1177/2050313X241242593Lotus petal flap reconstruction of labia major and perineum after necrotizing fasciitis infection: A case reportZejnë Buja0UBT College, Pristina, KosovoNecrotizing fasciitis is one of the most serious and deadly infections in surgery. The tissue defects that result after a severe infection with necrotizing fasciitis are often not easy to resolve surgically. The importance of this article is to show the reconstructive efficacy of the lotus petal flap based on two perforators. We present a 71-year-old female case with necrotizing fasciitis infection and defect of the region of the vulva (labia major) and perineum. We solved the reconstruction of the defect of the lower half of the labia major and the perineum, on the left side, by raising a fascio-cutaneous lotus petal flap along the gluteal fold, based on two perforators. Considering that the necrotizing fasciitis infection is very serious, it is also accompanied by large soft tissue defects. Raising the flap based on two perforators gives it greater vascular security and, at the same time, greater success in survival. We can conclude that the reconstruction of defects of the vulva and perineum with a lotus petal flap is a satisfactory solution and acceptable to the patient.https://doi.org/10.1177/2050313X241242593
spellingShingle Zejnë Buja
Lotus petal flap reconstruction of labia major and perineum after necrotizing fasciitis infection: A case report
SAGE Open Medical Case Reports
title Lotus petal flap reconstruction of labia major and perineum after necrotizing fasciitis infection: A case report
title_full Lotus petal flap reconstruction of labia major and perineum after necrotizing fasciitis infection: A case report
title_fullStr Lotus petal flap reconstruction of labia major and perineum after necrotizing fasciitis infection: A case report
title_full_unstemmed Lotus petal flap reconstruction of labia major and perineum after necrotizing fasciitis infection: A case report
title_short Lotus petal flap reconstruction of labia major and perineum after necrotizing fasciitis infection: A case report
title_sort lotus petal flap reconstruction of labia major and perineum after necrotizing fasciitis infection a case report
url https://doi.org/10.1177/2050313X241242593
work_keys_str_mv AT zejnebuja lotuspetalflapreconstructionoflabiamajorandperineumafternecrotizingfasciitisinfectionacasereport