Single Stage Reconstruction of a Post Traumatic Complete Penoscrotal Degloving Injury: A Case Report and Review of Literature
Published: 2024-04-05
Page: 187-192
Issue: 2024 - Volume 7 [Issue 1]
Mahesh Jangra *
Department of Plastic Surgery, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, Pin Code- 160012, India.
Kamlesh Kumari
Department of Plastic Surgery, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, Pin Code- 160012, India.
Tarush Gupta
Department of Plastic Surgery, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, Pin Code- 160012, India.
*Author to whom correspondence should be addressed.
Abstract
Penoscrotal skin degloving injuries are uncommon in Plastic surgery practice which are mostly due to industrial and agricultural related accidents. Although this type of injury is not dangerous to life, it can be psychosocially bothersome to patients if not treated properly. Here, we present the case of a 34-years patient with complete penoscrotal degloving injury due to agricultural machine accident. He came to our trauma centre 4 hours after the accident and treated by partial thickness skin grafting in a single stage. Postsurgical period was normal and he was discharged 9 days after the operation. Follow up at 3 months, patient showed an excellent outcome in terms of aesthesis, a well settled penoscrotal grafts, normal voiding and regained sexual functions.
Keywords: Degloving injury, penoscrotal, genitalia, perineum, split thickness skin graft
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References
Gencosmanoğlu R, Bilkay U, Alper M, et al. Late results of split-grafted penoscrotal avulsion injuries. J Trauma. 1995;39:1201–3.
Selikowitz SM. Penetrating high-velocity genitourinary injuries. Part I. Statistics mechanisms, and renal wounds. Urology. 1977;9:371–6.
Finical SJ, Arnold PG. Care of the degloved penis and scrotum: a 25-year experience. Plast Reconstr Surg. 1999; 104:2074–8.
Shetty BSK, Rao PJ, Menezes RG. Traumatic degloving lesion of male external genitalia. J Forensic Legal Med. 2008;15:535.
Iwuagwu FC, Mopuri N, Fitzgerald O’Connor E, Scrotal reconstruction with modified pudendal thigh flaps, British Journal of Plastic Surgery; 2015.
Hsu H, Lin CM, Sun TB, Cheng LF, Chien SH. Unilateral gracilis myofasciocutaneous advancement flap for single stage reconstruction of scrotal and perineal defects. J Plast Reconstr Aesthet Surg. 2007;60(9);1055-9.
Bickell M, Beilan J, Wallen J, Carrion R. Advances in Surgical Reconstructive Techniques in the Management of Penile, Urethral, and Scrotal Cancer. Urol Clin North Am. 2016;43(4):545-59.
Mopuri N, O’Connor EF, Iwuagwu FC. Scrotal Reconstruction with Modified Pudendal Thigh Flaps. J Plast Reconstr Aesthet Surg. 2016;(69):278-83.
Maharaj D, Naraynsingh V, Perry A, Ramdasset MJ. The Scrotal Reconstruction Using the ‘Singapore Sling’. Plast Reconstr Surg. 2002; 110 (1):203-5.
Jeffey D. Friedman reconstruction of the perinium in Grabb and Smith’s plastic surgery. 6th ed. 713.
Zanettini LA, Fachinelli A, Fonseca GP. Traumatic Degloving Lesion of Penile and Scrotal Skin. Int Braz J Urol. 2005;31:262-3.
Conley JJ. A One-Stage Operation for the Repair of the Denuded Penis and Testicles. N Y State J Med. 1956; 56 (19): 3014-6.
Wang DL, Wang YM, Zheng H, Feng J, Fu SN, Gao ZY, et al. An experiment study and clinical observation of the testicle spermatogenesis after scrotum reconstruction. Zhonghua Zheng Xing Wai Ke Za Zhi. 2004;20:203-5.
Aineskog H, Huss F. A Case Report of a Complete Degloving Injury of the Penile Skin. Int J Surg Case Rep. 2016;(29):1-3.
Campbell, R. M. 1957. “Dermatome Grafting of the Totally Denuded Testes. Plast Reconstr Surg (19):509-13.
Alton JD. Complete Avulsion of the Scrotum. In Transactions of the Third International Congress of Plastic Surgery. Edited by TR. Broadbent. Amsterdam: Excerpta Medica Foundation; 1963.
Sanchez G, Ardavin JP, Munoz C. Scrotal reconstruction with pedicled gracilis muscle flap versus split thickness skin graft. Cirugia Plastica libero Latinoamericana. 2018;44(3):297-301.
Wang D, Luo Z, Sun G, Wei Z. Long-Term Prognosis of Free Skin-Grafted Penoscrotal Avulsion Injuries in Two Patients. J Plast Reconstr Aesthet Surg. 2009;62):385-7.
Demir Y, Aktepe F, Kandal S, Sancaktar N, Turhan-Haktanir N. The Effect of Scrotal Reconstruction with Skin Flaps and Skin Grafts on Testicular Function. Ann Plast Surg. 2011;68 (3):308-13.
Sun G, Wang D, Wei Z, Jin W, Deng C. Effect of Scrotal Reconstruction with Free Skin Graft on Spermatogenesis. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011;25(11):1357-9.
Alkahtani et al. Traumatic Degloving Injury of Penile and Scrotal Skin: A Case Report. Plast Reconstr Surg Glob Open. 2020; 8(8):e3024.