The successful reconstruction of the soft tissue defects in the perineum(external genitalia and perianal area) has long been a very troublesome procedure, because this anatomical region is susceptible to the problems of skin maceration, urinary and fecal contamination, fistulization and infection, leading to delayed or incomplete wound closure. Moreover aften incomplete wound healing with inadequate skin flap there will be a functional deficit in the genitalia and bowel habit. Additionally multiple procedures would be necessary for the perineal reconstruction, even though the ill and debilitated individuals with infected parineal wound need a single staged reconstruction with minimal donor defect. The muscle and myocutaneous flaps can afford a simple, safe, one stage method for reconstruction of such defects in the perineum.
We have present 11 cases of perineal soft tissue defect(external genitalia and perianal area) which were repaired by myocutaneous flaps. Among 11 cases, 7 cases were repaired by the gracilis myocutaneous flaps, 3 by the gluteal thigh flaps and 1 by the gluteal thigh flap combined with gracilis myocutaneous flap.
We will discuss the advantages and disadvantages of these two flaps in the perineal reconstruction.
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