PMC4075202_01
Intraoperative view of the tumour. Patient after the second surgical debridement procedure. The defect involves the scrotum, the perineum, the right ischial region and extended to the lower abdomen
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F1
After 2 days a second radical debridement was done and a suprapubic cystostomy was established [Figure 1].
Post-operative 21 days later surgery. The healthy granulation tissue throughout wound
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F2
NPWT there were no signs of deep wound infection. NPWT dressing was changed and reapplied twice a week, until the presence of healthy granulation tissue with no sign of infection was observed [Figure 2].
Intraoperative view following Integra application. Surgical application of dermal regenerative template
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F3
The Integra dermal regeneration template was used to temporary cover the full-thickness skin defects of the perineum, the right ischial region and the posterior part of the scrotum [Figure 3].
Post-operative final result at 18 months. Patient showed a satisfying functional and aesthetic result
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F4
At 3 months follow-up, the patient had fully recovered and showed a satisfying functional and aesthetic result [Figure 4].