Tension-free treatment of large perianal necrotizing fasciitis using quartet rotationplasty.

BACKGROUND

In the present study, the authors report their experience with quartet rotationplasty that were performed to cover large perianal defects caused by necrotizing fasciitis with no tension to the anus.

METHODS

From April of 2000 to August of 2004, four patients with large perianal necrotizing fasciitis were treated with quartet rotationplasty. The average follow-up period was 10 months.

RESULTS

All operations were successful. All large perianal defects were closed with quartet rotationplasty, and there was no tension on the suture lines between the flap and the anus.

CONCLUSION

Quartet rotationplasty is a logical and easy means of covering large perianal defects caused by necrotizing fasciitis.