Postburn Perineum Obliteration: Elimination of Perineal, Inguinal, and Perianal Contractures with the Groin Flap

  • Viktor M. Grishkevich
  • Max Grishkevich


Deep burns of the perineum result in perineal obliteration; the total perineal contracture is often combined with perianal and inguinal contractures, which restrict the normal motion and make personal hygiene difficult. Contracture is formed without a fold; use of the local flap technique is therefore excluded. Skin transplants in the perineal zone often shrink. Elimination of such a complex perineal contracture is a challenge for surgeons. Success can be achieved only by using pedicle or free flaps. We noticed that a groin flap has excellent tissue for simultaneous perineal, inguinal, and anal reconstruction. The recommended surgical technique and results are shown in this chapter.


Burns of perineum Perineum obliteration Techniques of reconstruction Treatment with groin flap 


  1. 1.
    Grishkevich VM. Postburn perineal obliteration: elimination of perineal, inguinal, and perianal contractures with the groin flap. J Burn Care Res. 2010;31:786–90.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Viktor M. Grishkevich
    • 1
  • Max Grishkevich
    • 2
  1. 1.Happy ValleyUSA
  2. 2.VIP MediSpaClackamasUSA

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