Arch Hand Microsurg.  2019 Sep;24(3):254-259. 10.12790/ahm.2019.24.3.254.

Medial Femoral Circumflex Artery Perforator Based Fasciocutaneous Flap Aided in Healing of Scrotal Defect due to Fournier Gangrene

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, Cheonan, Korea. medi619@hanmail.net
  • 2Institute of Tissue Regeneration, Soonchunhyang University, Cheonan, Korea.

Abstract

Fournier's gangrene is a rare, highly infectious necrotizing fasciitis of the perineum and genital area which is caused by a mixture of various bacterial organism. Treatment is predominantly surgical, including extensive and early drainage and debridement, considering negative-pressure wound therapy for helping to heal the wounds and broad-spectrum intravenous antibiotics therapy. Some reports have described the use of negative-pressure wound therapy combined with split thickness skin graft in the defect area. While, other recent reports suggest that local flap coverage rather than skin graft for reconstruction of perineal area. This study aims to suggest the use of medial femoral circumflex artery perforator based thigh flap for scrotal and perineal reconstruction in open areas secondary to the surgical debridement and negative-pressure wound therapy of Fournier's gangrene.

Keyword

Necrotizing fasciitis; Perforator flap; Fournier gangrene; Perineum

MeSH Terms

Anti-Bacterial Agents
Arteries*
Debridement
Drainage
Fasciitis, Necrotizing
Fournier Gangrene*
Negative-Pressure Wound Therapy
Perforator Flap
Perineum
Skin
Thigh
Transplants
Wounds and Injuries
Anti-Bacterial Agents
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