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Divisional Reconstruction Strategy: The Repair of Perineal Skin Defect After Tumor Resection
1Department of Plastic Surgery, First Affiliated Hospital of Second Military Medical University, Shanghai, China.
Summary
The PSC (penis, scrotum, circum-penoscrotal skin) divisional reconstruction strategy effectively repairs perineal skin defects after tumor removal. This method is simple, safe, and avoids complications or recurrence.
Area of Science:
- Urology
- Plastic Surgery
- Oncology
Background:
- Perineal reconstruction after tumor resection presents anatomical and physiological challenges.
- The circum-penoscrotal region requires specialized reconstructive techniques.
Purpose of the Study:
- To evaluate the efficacy of the PSC (penis, scrotum, circum-penoscrotal skin) divisional reconstruction strategy.
- To assess the safety and outcomes of this technique for perineal skin defects.
Main Methods:
- A cohort of 47 patients underwent perineal skin defect reconstruction using the PSC strategy.
- Defect sizes ranged from 2 cm × 2.5 cm to 12 cm × 18 cm.
- Patients were categorized based on involvement of one, two, or three zones (penis, scrotum, circum-penoscrotal skin).
Main Results:
- All reconstructed flaps demonstrated successful survival without complications.
- No instances of scar contracture or tumor recurrence were observed.
- The PSC strategy was applied to defects involving one, two, or three zones in 12, 10, and 25 patients, respectively.
Conclusions:
- The PSC divisional reconstruction strategy is a promising approach for perineal wound repair.
- This technique is straightforward to implement and associated with minimal complications.
- The strategy facilitates effective reconstruction of the circum-penoscrotal skin area.
