Management of Fournier’s gangrene with skin grafting by bagging technique of testes: case report

Alshehri, Yasir Ali; AlBurshaid, Hiba; Albassam, Layan; Almutairi, Khalid

doi:10.3205/iprs000128

Cited by 6 publications

(4 citation statements)

References 14 publications

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“…The surgical trauma is also out of proportion to the area to be rebuilt. 5 , 7 , 8 , 9 , 10 Barham et al propose the use of the Integra TM dermal regeneration template with good results. However, it is cost prohibitive in our context where the population is poor and health insurance is nonexistent.…”

Section: Discussionmentioning

confidence: 99%

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Medial thigh fasciocutaneous flaps for reconstruction of the scrotum following Fournier gangrene: A case report

Mwenibamba

Nteranya

Mukakala

et al. 2022

Clinical Case Reports

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Fournier's gangrene, a rapidly progressive necrotizing fasciitis of the perineum and external genitalia that leads to extensive soft tissue necrosis, remains a medical‐surgical emergency. The authors present a case of coverage of a scrotal loss of substance with testicular exposure by a medial fasciocutaneous flap of the unilateral thigh after debridement and initial medical treatment of Fournier's gangrene in a 50‐year‐old quadriplegic patient. The clinical examination at 8 months showed an aesthetic and functional result. The trophic‐cutaneous thigh flap that the authors propose for frail, elderly, and neurological subjects with low functional requirements allows coverage of the scrotal region with relatively thick skin, color, and texture close to those of the scrotum. It also offers technical simplicity, moderate scarring, and functional remnants at the price of less morbidity.

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Section: Discussionmentioning

confidence: 99%

“… 6 , 12 Hyperbaric oxygen, vacuum aspiration, and fecal and urinary diversions techniques are others therapeutics modality that help accelerate the healing process. 5 , 7 Often, more than one theater session are required for satisfactory results. 10 …”

Section: Discussionmentioning

confidence: 99%

Medial thigh fasciocutaneous flaps for reconstruction of the scrotum following Fournier gangrene: A case report

Mwenibamba

Nteranya

Mukakala

et al. 2022

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

“…Numerous coverage and wound care techniques have been described in the literature. Primary closure, healing by secondary intention, split-or full-thickness skin grafts, and local advancement flaps are some of the most common methods of closure, all of which are dependent on wound size [6,10,11]. Additional procedures are often required for coverage of the testicles such as scrotal flaps or testicular transposition [11,12].…”

Section: Introductionmentioning

confidence: 99%

“…Primary closure, healing by secondary intention, split-or full-thickness skin grafts, and local advancement flaps are some of the most common methods of closure, all of which are dependent on wound size [6,10,11]. Additional procedures are often required for coverage of the testicles such as scrotal flaps or testicular transposition [11,12]. The best option for each patient is dependent on wound dimensions, body mass index (BMI), comorbid conditions, and the skill and preference of the surgeon [10].…”

Section: Introductionmentioning

confidence: 99%