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(a) Extensive injury to the anorectal, penoscrotal, groin, and upper thigh in a road accident, (b) The penoscrotal region has been grafted; appearance on day 7 after injury showing necrotic wound in groin with exposed femoral vessels. (c) A contra-lateral rectus musculocutaneous island flap with an oblique skin paddle designed. (d) Flap transferred into the defect (e) Well healed wound at 1 month
