Management Approach for Traumatic Complex Degloving Perineal Injuries: A Retrospective Review of 6 Cases

Area of Science:

• Trauma Surgery
• Surgical Management
• Reconstructive Surgery

Background:

• Degloving perineal injury involves avulsion of skin and subcutaneous tissue.
• High morbidity and mortality risk if mismanaged.
• Often caused by road vehicle accidents or falls.

Purpose of the Study:

• Evaluate management protocol for degloving perineal injury.
• Assess clinical outcomes in a case series.

Main Methods:

• Retrospective review of six cases (2018-2020).
• Included isolated scrotal degloving and complex perineal injuries with pelvic/anorectal/urethral trauma.
• Two cases required pelvic stabilization for open-book fractures.

Main Results:

• Management involved resuscitation, pelvic packing, debridement, and primary repair.
• Specialized teams performed prompt surgical repair post-diagnosis.
• All patients achieved good functional outcomes.

Conclusions:

• A multidisciplinary team (surgeons, urologists, orthopedists, plastic surgeons) is crucial.
• Prompt diagnosis and immediate surgical intervention are essential.
• Proposed management protocol is safe and effective for complex degloving perineal injuries.