Lotus Petal Flap Reconstruction of the Labia Major and Perineum after Necrotizing Fasciitis Infection

Session

Nursing and Medical Sciences

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.

Case presentation

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 fasciocutaneous lotus petal flap along the gluteal fold, based on two perforators.

Discussion

Considering that the necrotizing fasciitis infection is a very serious infection, 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.

Conclusions

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

Proceedings Editor

Edmond Hajrizi

ISBN

978-9951-550-95-6

Location

UBT Lipjan, Kosovo

Start Date

28-10-2023 8:00 AM

End Date

29-10-2023 6:00 PM

DOI

10.33107/ubt-ic.2023.203

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Oct 28th, 8:00 AM Oct 29th, 6:00 PM

Lotus Petal Flap Reconstruction of the Labia Major and Perineum after Necrotizing Fasciitis Infection

UBT Lipjan, Kosovo

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.

Case presentation

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 fasciocutaneous lotus petal flap along the gluteal fold, based on two perforators.

Discussion

Considering that the necrotizing fasciitis infection is a very serious infection, 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.

Conclusions

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