1
|
Mantelakis A, McKean AR, Biju NE, Shet AS, Geh JLC. Evolutions in the use of Integra® and MatriDerm® in excision and reconstruction of cutaneous malignancies. J Plast Reconstr Aesthet Surg 2024; 93:24-27. [PMID: 38608534 DOI: 10.1016/j.bjps.2024.03.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2023] [Revised: 03/04/2024] [Accepted: 03/18/2024] [Indexed: 04/14/2024]
Affiliation(s)
- Angelos Mantelakis
- Department of Plastic Surgery, Guy's, King's and St Thomas' NHS Foundation Trust, Westminster Bridge Road, London SE1 7EH, United Kingdom
| | - Andrew R McKean
- Department of Plastic Surgery, Guy's, King's and St Thomas' NHS Foundation Trust, Westminster Bridge Road, London SE1 7EH, United Kingdom
| | - Noel E Biju
- Faculty of Life Sciences and Medicine, School of Medicine, King's College London, Guy's Campus, Great Maze Pond, London SE1 1UL, United Kingdom
| | - Aryan S Shet
- Faculty of Life Sciences and Medicine, School of Medicine, King's College London, Guy's Campus, Great Maze Pond, London SE1 1UL, United Kingdom.
| | - Jenny L C Geh
- Department of Plastic Surgery, Guy's, King's and St Thomas' NHS Foundation Trust, Westminster Bridge Road, London SE1 7EH, United Kingdom
| |
Collapse
|
2
|
Biju NE, Sadiq M, Raj S, Patel A, Shah R, Weale RD, Thomas K, Rose V. Fournier's gangrene reconstruction: A 10-year retrospective analysis of practice at Guys and St Thomas's NHS Foundation Trust. J Plast Reconstr Aesthet Surg 2023; 80:13-15. [PMID: 36934563 DOI: 10.1016/j.bjps.2023.02.030] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 02/19/2023] [Accepted: 02/21/2023] [Indexed: 03/07/2023]
Abstract
Fournier's gangrene is a rare and potentially fatal condition that affects the external genitalia and perineum as a necrotizing soft-tissue infection. It is equally prevalent in men and women and although there are many ways to manage the condition, it must be done so effectively because there is a chance that life-threatening complications could develop. This retrospective study set out to fill any knowledge gaps, compare reconstructive options to those described in the literature, and promote reflection on current management. Between January 2010 and January 2020, all perineal debridement operation notes were examined. The primary conclusions were that a large majority of defects could be repaired using split skin grafts to reduce surgical time and donor site morbidity. To avoid secondary contracture and the need for revision surgery, full-thickness skin grafts should be used whenever possible to treat penile defects.
Collapse
Affiliation(s)
- Noel E Biju
- Plastic Surgery, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, United Kingdom.
| | - Muhayman Sadiq
- Plastic Surgery, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, United Kingdom
| | - Siddarth Raj
- Plastic Surgery, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, United Kingdom
| | - Aman Patel
- Plastic Surgery, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, United Kingdom
| | - Rushabh Shah
- Plastic Surgery, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, United Kingdom
| | - Ross David Weale
- Plastic Surgery, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, United Kingdom
| | - Kay Thomas
- Plastic Surgery, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, United Kingdom
| | - Victoria Rose
- Plastic Surgery, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, United Kingdom
| |
Collapse
|