Perineal scar contracture repair

The perineal scar contracture deformity is caused by the scar healing of the perineum after burn wound healing. Clinical manifestations can be divided into three types: peripheral type, central type and composite type. Both cause bowel movements and movement disorders. The disease is more common in children, because the wearing trousers is exposed to the genitals, accidentally falling into boiling water, boiling porridge, etc., causing burns; electric burns and radiation burns can also be injured. Its incidence is relatively small. However, once it occurs, due to the loosening of the local skin limbs, it is prone to scar contracture deformity, affecting large, urinary excretion and sexual function, resulting in severe mental and physical pain. The principle of surgical treatment is to partially or completely remove the scar, completely relieve the contracture, and properly repair the wound. More common in the surrounding type, mainly affecting the function of the hip joint. The central type can cause malformations, stenosis and atresia of the penis, vagina, and anus, which are relatively rare in clinical practice. Treatment of diseases: vulvar burns, burns and chemical damage Indication Burns scars in the perineum. Contraindications The patient is too old and should be filled with poor general condition. Preoperative preparation Before and after surgery, you need to enter a less slag diet. Surgical procedure The perineal scars are soft and thick, and those with light can be repaired with Z-shaped shape. In severe cases, if the flap is repaired, if there is still a wound, it can be repaired with medium-thickness skin graft. Scar contracture caused by pseudo anal or vaginal atresia, after resection and loosening of scar tissue, can be repaired by using the anus or normal skin around the vagina to form a flap. For large-area flaky scars, after the scar is removed and loosened, the medium-thickness skin is often used to repair the wound. complication Pseudo anal or vaginal atresia.

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