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Quality of life and sexual health after perineal reconstruction in Fournier gangrene using pedicled anterolateral thigh flaps

OBJECTIVES: To assess long-term sexual outcome and quality of life after perineal reconstruction by pedicled anterolateral thigh (ALT) flaps after Fournier's gangrene. Postoperative surgical outcomes were assessed; quality of life and sexual function were assessed at long term follow-up (>12...

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Autores principales: Rossi, Severin Alexander, de Schoulepnikoff, Camille, Guillier, David, Raffoul, Wassim, di Summa, Pietro Giovanni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9513189/
https://www.ncbi.nlm.nih.gov/pubmed/36176343
http://dx.doi.org/10.3389/fsurg.2022.994936
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author Rossi, Severin Alexander
de Schoulepnikoff, Camille
Guillier, David
Raffoul, Wassim
di Summa, Pietro Giovanni
author_facet Rossi, Severin Alexander
de Schoulepnikoff, Camille
Guillier, David
Raffoul, Wassim
di Summa, Pietro Giovanni
author_sort Rossi, Severin Alexander
collection PubMed
description OBJECTIVES: To assess long-term sexual outcome and quality of life after perineal reconstruction by pedicled anterolateral thigh (ALT) flaps after Fournier's gangrene. Postoperative surgical outcomes were assessed; quality of life and sexual function were assessed at long term follow-up (>12 months) with 2 scientifically validated questionnaires. METHODS: We conducted a retrospective analysis of a prospectively maintained database. Long-term sexual function and quality of life were assessed by standardized questionnaires. Descriptive statistics were conducted. RESULTS: 8 patients were included in our study, 5 patients responded to quality of life and sexual function analysis. Surgical outcomes were in line with literature: one minor complication (minor dehiscence requiring a skin graft), one major complication (flap loss, requiring a second, contralateral flap) occurred. No reconstructive failure occurred. Average time to complete wound healing was 17 days (SD ±5). Quality of life scores over 70/100 in four out of five categories; social function was rated lowest: patients reported very few residual complaints. Sexual outcome analysis emphasizes the positive impact of the reconstruction. As expected, Fournier's Gangrene heavily affected patient's sexual health. CONCLUSIONS: Perineal reconstruction with ALT shows excellent quality of life, and good sexual health outcomes. Currently the lack of reliable and relatable data leads to the impossibility to compare different reconstructive procedures. We emphasize that assessing sexual function and quality of life after perineal reconstruction is paramount to weigh reconstructive success.
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spelling pubmed-95131892022-09-28 Quality of life and sexual health after perineal reconstruction in Fournier gangrene using pedicled anterolateral thigh flaps Rossi, Severin Alexander de Schoulepnikoff, Camille Guillier, David Raffoul, Wassim di Summa, Pietro Giovanni Front Surg Surgery OBJECTIVES: To assess long-term sexual outcome and quality of life after perineal reconstruction by pedicled anterolateral thigh (ALT) flaps after Fournier's gangrene. Postoperative surgical outcomes were assessed; quality of life and sexual function were assessed at long term follow-up (>12 months) with 2 scientifically validated questionnaires. METHODS: We conducted a retrospective analysis of a prospectively maintained database. Long-term sexual function and quality of life were assessed by standardized questionnaires. Descriptive statistics were conducted. RESULTS: 8 patients were included in our study, 5 patients responded to quality of life and sexual function analysis. Surgical outcomes were in line with literature: one minor complication (minor dehiscence requiring a skin graft), one major complication (flap loss, requiring a second, contralateral flap) occurred. No reconstructive failure occurred. Average time to complete wound healing was 17 days (SD ±5). Quality of life scores over 70/100 in four out of five categories; social function was rated lowest: patients reported very few residual complaints. Sexual outcome analysis emphasizes the positive impact of the reconstruction. As expected, Fournier's Gangrene heavily affected patient's sexual health. CONCLUSIONS: Perineal reconstruction with ALT shows excellent quality of life, and good sexual health outcomes. Currently the lack of reliable and relatable data leads to the impossibility to compare different reconstructive procedures. We emphasize that assessing sexual function and quality of life after perineal reconstruction is paramount to weigh reconstructive success. Frontiers Media S.A. 2022-09-13 /pmc/articles/PMC9513189/ /pubmed/36176343 http://dx.doi.org/10.3389/fsurg.2022.994936 Text en © 2022 Rossi, de Schoulepnikoff, Guillier, Raffoul and Di Summa. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Rossi, Severin Alexander
de Schoulepnikoff, Camille
Guillier, David
Raffoul, Wassim
di Summa, Pietro Giovanni
Quality of life and sexual health after perineal reconstruction in Fournier gangrene using pedicled anterolateral thigh flaps
title Quality of life and sexual health after perineal reconstruction in Fournier gangrene using pedicled anterolateral thigh flaps
title_full Quality of life and sexual health after perineal reconstruction in Fournier gangrene using pedicled anterolateral thigh flaps
title_fullStr Quality of life and sexual health after perineal reconstruction in Fournier gangrene using pedicled anterolateral thigh flaps
title_full_unstemmed Quality of life and sexual health after perineal reconstruction in Fournier gangrene using pedicled anterolateral thigh flaps
title_short Quality of life and sexual health after perineal reconstruction in Fournier gangrene using pedicled anterolateral thigh flaps
title_sort quality of life and sexual health after perineal reconstruction in fournier gangrene using pedicled anterolateral thigh flaps
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9513189/
https://www.ncbi.nlm.nih.gov/pubmed/36176343
http://dx.doi.org/10.3389/fsurg.2022.994936
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