Synchronous penile urethra onlay patch and scrotal reconstruction after Fournier's gangrene using medial thigh flaps

1996 ◽  
Vol 19 (2) ◽  
Author(s):  
G.G. Hallock
Keyword(s):  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Medial Thigh ◽  
Scrotal Reconstruction

Total scrotal reconstruction following Fournier’s gangrene with bilateral prelaminated superior medial thigh flaps

2021 ◽  
Vol 14 (4) ◽  
pp. e240618
Author(s):  
Justin Hart ◽  
Jeffrey DeSano ◽  
Raymond Hajjar ◽  
Christopher Lumley
Keyword(s):  
Muscle Flap ◽  
Skin Grafting ◽  
Fournier’S Gangrene ◽  
Ischiorectal Fossa ◽  
Fournier's Gangrene ◽  
Dermal Matrix ◽  
Gracilis Muscle Flap ◽  
Medial Thigh ◽  
Split Thickness Skin Grafting ◽  
Scrotal Reconstruction

The patient is a 45-year-old man diagnosed with Fournier’s gangrene and underwent treatment for septic shock, broad-spectrum antibiotic therapy and extensive surgical debridement of perineum, including total scrotectomy, ischiorectal fossa, abdomen and left superior thigh and flank. The patient required multiple staged complex reconstruction of the scrotum utilising prelaminated superior medial thigh flaps with use of dermal matrix, split-thickness skin grafting and pedicled gracilis muscle flap for coverage of the ischiorectal wound. The patient had full recovery and followed up 1 year postoperatively. This report discusses our technique for total scrotal reconstruction and provides review of surgical reconstructive techniques for wounds due to Fournier’s gangrene.

Split-thickness skin grafting: A modest technique for scrotal reconstruction in patients of Fournier’s gangrene

2019 ◽  
Vol 15 (1) ◽  
pp. 9
Author(s):  
RajeshK Maurya ◽  
Imran Ahmad ◽  
MohammedF Khurram ◽  
Brajesh Pathak ◽  
AliA Mahmud ◽  
...  
Keyword(s):  
Skin Grafting ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting ◽  
Scrotal Reconstruction

Perineoscrotal reconstruction following fournier's gangrene using the upper medial thigh perforator flap

2019 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
Mert Sizmaz ◽  
Fatih Irmak ◽  
SelamiSerhat Sirvan ◽  
SevgiKurt Yazar ◽  
Arzu Akcal ◽  
...  
Keyword(s):  
Perforator Flap ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Medial Thigh

scholarly journals A Rare Case of Idiophatic Fournier’s Gangrene: Scrotal Reconstruction via Anterolateral Thigh Flap

2021 ◽  
Vol 7 ◽  
pp. 2513826X2110289
Author(s):  
Tomas Mačiulaitis ◽  
Nerijus Jakutis ◽  
Karolis Baužys
Keyword(s):  
Unusual Case ◽  
Treatment Plan ◽  
Fournier’S Gangrene ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Defects ◽  
Healthy Male ◽  
Fournier's Gangrene ◽  
Anterolateral Thigh ◽  
Scrotal Reconstruction ◽  
Tissue Defects

Fournier’s gangrene (FG) is a surgical emergency. The main treatment plan for this disease includes several aggressive debridements, which lead to the development of massive soft-tissue defects in the affected area. Current literature describes various possible reconstructive options for the closure of those defects, yet, there is no evidence on which is the most efficient. Here we describe an unusual case of an otherwise healthy male presenting with a scrotal Fournier’s gangrene. In our case, the reconstruction was performed via anterolateral thigh flap. Due to a postoperative complication the flap was partly lost, however, consequences were managed successfully and a satisfactory result was achieved.

scholarly journals Aesthetic scrotal reconstruction following extensive Fournier’s gangrene using bilateral island pedicled sensate anterolateral thigh flaps: A case report

2014 ◽  
Vol 8 (1-2) ◽  
pp. 114 ◽  
Author(s):  
Joseph H. Dayan ◽  
Emily M. Clarke-Pearson ◽  
Erez Dayan ◽  
Mark L. Smith
Keyword(s):  
Case Report ◽  
Patient Population ◽  
Fournier’S Gangrene ◽  
Healthy Male ◽  
Fournier's Gangrene ◽  
Acceptable Result ◽  
Aesthetic Appearance ◽  
Anterolateral Thigh ◽  
Scrotal Reconstruction ◽  
Anterolateral Thigh Flaps

Achieving an aesthetic appearance of the scrotum after extensive Fournier’s gangrene is a reconstructive challenge. Testicular coverage is often prioritized over scrotal cosmesis due to the comorbidities typically seen in this patient population. We describe our treatment of a young, healthy male with extensive Fournier’s gangrene, with loss of the scrotum. Bilateral neurotized anterolateral thigh flaps were used to achieve a sensate and aesthetically acceptable result.

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