Extended medial sural artery perforator free flap for groin and scrotal reconstruction
The medial sural artery perforator (MSAP) flap is a versatile fasciocutaneous flap that has been used successfully in the reconstruction of defects across the body. In specific cases, it may prove superior to more commonly used options (e.g., anterolateral thigh flap and radial forearm free flap). H...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2020-07-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2019.01921 |
| _version_ | 1828149613081657344 |
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| author | Chad M. Teven Jason W. Yu Lee C. Zhao Jamie P. Levine |
| author_facet | Chad M. Teven Jason W. Yu Lee C. Zhao Jamie P. Levine |
| author_sort | Chad M. Teven |
| collection | DOAJ |
| description | The medial sural artery perforator (MSAP) flap is a versatile fasciocutaneous flap that has been used successfully in the reconstruction of defects across the body. In specific cases, it may prove superior to more commonly used options (e.g., anterolateral thigh flap and radial forearm free flap). Historically, a disadvantage of the MSAP flap is the relatively small surface area it provides for reconstruction. We recently encountered a patient with extensive pelvic injuries from prior trauma resulting in significant scarring and contracture of the groin, tethering of the penis, and loss of the scrotum and one testicle. The patient was unable to achieve erection from tethering and his remaining testicle had been buried in the thigh. In considering the reconstructive options, he was not a suitable candidate for a thigh-based or forearmbased flap. An extended MSAP flap measuring 25 cm×10 cm was used for resurfacing of the groin and pelvis as well as for the formation of a neoscrotum. This report is the first to document an MSAP flap utilized for simultaneous groin resurfacing and scrotoplasty. Additionally, the dimensions of this flap make it the largest recorded MSAP flap to date. |
| first_indexed | 2024-04-11T21:32:33Z |
| format | Article |
| id | doaj.art-d3e5dc09d11e463e8047387229c8f84e |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T21:32:33Z |
| publishDate | 2020-07-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-d3e5dc09d11e463e8047387229c8f84e2022-12-22T04:01:55ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712020-07-01470435435910.5999/aps.2019.019213728Extended medial sural artery perforator free flap for groin and scrotal reconstructionChad M. Teven0Jason W. Yu1Lee C. Zhao2Jamie P. Levine3Division of Plastic and Reconstructive Surgery, Mayo Clinic, Phoenix, AZ, USAHansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, NY, USADepartment of Urology, NYU Langone Health, New York, NY, USAHansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, NY, USAThe medial sural artery perforator (MSAP) flap is a versatile fasciocutaneous flap that has been used successfully in the reconstruction of defects across the body. In specific cases, it may prove superior to more commonly used options (e.g., anterolateral thigh flap and radial forearm free flap). Historically, a disadvantage of the MSAP flap is the relatively small surface area it provides for reconstruction. We recently encountered a patient with extensive pelvic injuries from prior trauma resulting in significant scarring and contracture of the groin, tethering of the penis, and loss of the scrotum and one testicle. The patient was unable to achieve erection from tethering and his remaining testicle had been buried in the thigh. In considering the reconstructive options, he was not a suitable candidate for a thigh-based or forearmbased flap. An extended MSAP flap measuring 25 cm×10 cm was used for resurfacing of the groin and pelvis as well as for the formation of a neoscrotum. This report is the first to document an MSAP flap utilized for simultaneous groin resurfacing and scrotoplasty. Additionally, the dimensions of this flap make it the largest recorded MSAP flap to date.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2019.01921extended medial sural artery perforator flapgroin reconstructionmedial sural artery perforatorscrotal reconstructionscotoplasty |
| spellingShingle | Chad M. Teven Jason W. Yu Lee C. Zhao Jamie P. Levine Extended medial sural artery perforator free flap for groin and scrotal reconstruction Archives of Plastic Surgery extended medial sural artery perforator flap groin reconstruction medial sural artery perforator scrotal reconstruction scotoplasty |
| title | Extended medial sural artery perforator free flap for groin and scrotal reconstruction |
| title_full | Extended medial sural artery perforator free flap for groin and scrotal reconstruction |
| title_fullStr | Extended medial sural artery perforator free flap for groin and scrotal reconstruction |
| title_full_unstemmed | Extended medial sural artery perforator free flap for groin and scrotal reconstruction |
| title_short | Extended medial sural artery perforator free flap for groin and scrotal reconstruction |
| title_sort | extended medial sural artery perforator free flap for groin and scrotal reconstruction |
| topic | extended medial sural artery perforator flap groin reconstruction medial sural artery perforator scrotal reconstruction scotoplasty |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2019.01921 |
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