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Surgery Journals | Surgery Articles | Journal of General Surgery | High Impact Articles | Scient Open Access
Journal of General Surgery


Research Article

Versatility of Singapore Flaps in the Reconstruction of Scrotal Defects

Salim Al Lahham, Sequina Ali J. M. Al- Saigel, Shiyas Mohammedali, Ruba Sada, Rehan Zahid, Mofeed Mokhlalati, Mutaz Abuelgasim, Ahmad Al Qahtani, Talal Al Hetmi

Correspondence Address :

Salim Al Lahham
Fellowship in Microsurgery
Ganga hospital, No. 313, Mettupalayam Road
Saibaba Koil, Coimbatore, Tamil Nadu 641043
plastic surgeon, HMC, Qatar
Tel: +9197430197754

Received on: May 14, 2018, Accepted on: May 25, 2018, Published on: June 01, 2018

Citation: Salim Al Lahham, Sequina Ali J. M. Al-Saigel, Shiyas Mohammedali, et al. (2018). Versatility of Singapore Flaps in the Reconstruction of Scrotal Defects

Copyright: 2018 Salim Al Lahham, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Introduction: Scrotal raw areas can be a source of morbidity and of great concern to the patients inflicted with such a problem. These patient are commonly referred to the Plastic Surgery service for definitive treatment and coverage of the defect.
Objective: This case series is intended to present the results of scrotal reconstruction in 11 cases of near total to total scrotal defects using bilateral Singapore flaps.
Methods: A total of 11 patients were included in this study. All patients were male, with total or near total scrotal defects following debridement of Fournier's gangrene. The patient's ages ranged from 39 to 62 years old. Ten out of the eleven patients were known diabetics. Seven patients had near total scrotal defects and four patients had total scrotal defects. Bilateral pudendal thigh flaps (Singapore flaps) were used to reconstruct the scrotal defects in all cases.
Results: The flap survival rate was found to be 100% in all cases and none of the postoperative patients required revision of the flap. At the one month postoperative visit, all patients presented with stable, viable flaps. All flaps proved to be exceptional color matches to the surrounding tissue and demonstrated excellent pain and light touch sensation. All patients reported high levels of satisfaction in regards to the esthetic appearance as well as the functionality and sensation of their new scrotum.
Conclusion: Singapore flap reconstruction is a very versatile technique and can be achieved as a single stage procedure. We have concluded that the Singapore flap is a superior choice in scrotal defect coverage and reconstruction due to the excellent clinical results as well as the patient's satisfaction in regards to the procedure outcome.

Keywords: Singapore flap, Pudendal flap, Scrotal defect, Scrotal raw area, Scrotal reconstruction, Fournier's gangrene, Scrotal coverage, Scrotum, Bilateral flaps, Flap reconstruction