A Case Report of Traumatic Perineal Degloving Injury

Joel Lau, Xuxin Lim, Ong Wei Chen, Yap Yan Lin, Jane Lim and Lim Thiam Chye

Department of Surgery, National University Health System, Singapore

^*Correspondance to: Jane Lim 

 PDF  Full Text DOI: 10.25107/2474-1647.1286

Abstract

Introduction: Degloving injuries are most commonly caused by road traffic accidents and industrial accidents. They result from of a large rotational force, which avulses the skin and subcutaneous tissue from the underlying fascia. The majority of such injuries involve the lower extremities. Perineal degloving injury is uncommon and seldom reported in the literature.Presentation of Case: In this case report, we present the case of a 22 year old male pedestrian involved in a motor vehicle accident. He sustained an open perineal degloving injury.Discussion: The management of perineal degloving injuries involves resuscitation and early identification of bony fractures, urogenital or anorectal injuries. A multi-disciplinary team should be activated to aid in the management of such injuries. Multiple wound irrigation with staged debridement can salvage potentially viable degloved segments. The degloved skin flaps should be secured to the wound bed without tension for the first 5 days. Additionally, the patient should be nursed on a differential air-loss mattress. Delayed wound closure can be undertaken once full demarcation has occurred.Conclusion: Careful serial excision of devitalized tissues prior to reconstruction minimizes tissue loss, minimizes septic complications and reduces patient’s morbidity.

Keywords

Perineal Injury; Degloving Injury; Perineal Trauma; Case Report

Cite the article

Lau J, Lim X, Chen OW, Lin YY, Lim J, Chye LT. A Case Report of Traumatic Perineal Degloving Injury. Clin Surg. 2017; 2: 1286.