Abstract
Deep burns of the perineum result in perineal obliteration; the total perineal contracture is often combined with perianal and inguinal contractures, which restrict the normal motion and make personal hygiene difficult. Contracture is formed without a fold; use of the local flap technique is therefore excluded. Skin transplants in the perineal zone often shrink. Elimination of such a complex perineal contracture is a challenge for surgeons. Success can be achieved only by using pedicle or free flaps. We noticed that a groin flap has excellent tissue for simultaneous perineal, inguinal, and anal reconstruction. The recommended surgical technique and results are shown in this chapter.
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References
Grishkevich VM. Postburn perineal obliteration: elimination of perineal, inguinal, and perianal contractures with the groin flap. J Burn Care Res. 2010;31:786–90.
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Grishkevich, V.M., Grishkevich, M. (2018). Postburn Perineum Obliteration: Elimination of Perineal, Inguinal, and Perianal Contractures with the Groin Flap. In: Plastic and Reconstructive Surgery of Burns. Springer, Cham. https://doi.org/10.1007/978-3-319-78714-5_32
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DOI: https://doi.org/10.1007/978-3-319-78714-5_32
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