Background: There are many options for scrotal reconstruction,
each having its own benefits and drawbacks. In the last years, the
introduction of the propeller flaps gained great popularity, while
the use of groin flap as propeller in scrotal reconstruction remains
anecdotal, with only a few cases reported in the literature.
Objectives: In this research, we study the versatility of unilateral
propeller groin flaps in the reconstruction of large scrotal defects.
Patients and Methods: This study was done on 10 patients with
scrotal defects who were admitted to the plastic unit of the general surgery department at Benha University Hospital from 2019 to
2021 for scrotal reconstruction.
Results: All surgeries were successful with a mean operative time
of 103.5 min, ranging from 90 to 130 min. All flaps survived well
with no flap necrosis, and only one case showed flap congestion.
Donor site healed well with the scar hidden in a natural crease,
with no affection on the testicular functions.
Conclusions: The use of groin flap as a propeller allows for free
movement and rotation of the flap, which allows for better coverage of a large scrotal defect with good vascularity, lesser complications |
