ABSTRACT
Background: There are many options for scrotal reconstruction, each having its own
benefits and drawbacks. In the last years, the introduction of the propeller flaps gained
great popularity, while the use of groin flap as propeller in scrotal reconstruction remains
anecdotal, with only a few cases reported in literature.
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Objectives: In this research we study the versatility of unilateral propeller groin flaps in
the reconstruction of large scrotal defects.
Patients and Methods: This study was done on 10 patients with scrotal defects who
were admitted to the plastic unit of the general surgery department at Benha university
hospital from 2019 to 2021 for scrotal reconstruction.
Results: All surgeries were successful with a mean operative time of 301.5 minutes,
ranging from 90 to 130 minutes. All flaps survived well with no flap necrosis, and only
one case showed flap congestion. Donor site healed well with the scar hidden in a natural
crease, with no affection on the testicular functions.
Conclusions: The use of groin flap as a propeller; allows for free movement and rotation
of the flap, which allows for better coverage of a large scrotal defect with good
vascularity, lesser complications, no need for further operations to separate the pedicle,
and has the lowest donor site morbidity.