2015
DOI: 10.4236/mps.2015.53005
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Reconstruction of Scrotal and Perineal Defects in Fournier’s Gangrene

Abstract: Fournier's gangrene described in 1883 by Jean Alfred Fournier, still poses ethiopathogenic, evolutive and therapeutic problems. This is a therapeutic emergency; early diagnosis, medical and surgical treatments contribute to reducing mortality rate. Tissue defect engendered by infection and/or by its excision requires morphological and functional reconstruction. The choice of the reconstruction technique depends on several parameters: early or delayed coverage, the size of the defect, the local capital skin and… Show more

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Cited by 5 publications
(13 citation statements)
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“…In the literature, the lower incidence of Fournier's gangrene in women is hypothetically explained by anatomical structures, which allow better drainage of secretions in the female pelvis [5]. Fournier's gangrene is secondary in 81.8-95.5%, mainly perirectal (16-45%) and genitourinary (20-43%) [1][2][3]5]. Fournier's gangrene is a polymicrobial infection in 82.5% of cases and affects mainly men, with a sex ratio of 10/1 [6,7].…”
Section: Discussionmentioning
confidence: 99%
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“…In the literature, the lower incidence of Fournier's gangrene in women is hypothetically explained by anatomical structures, which allow better drainage of secretions in the female pelvis [5]. Fournier's gangrene is secondary in 81.8-95.5%, mainly perirectal (16-45%) and genitourinary (20-43%) [1][2][3]5]. Fournier's gangrene is a polymicrobial infection in 82.5% of cases and affects mainly men, with a sex ratio of 10/1 [6,7].…”
Section: Discussionmentioning
confidence: 99%
“…Many authors recently reported a better clinical and aesthetic outcome following the use of honey compared to conventional dressing [2]. Plastic surgery for scrotal and perineal defect reconstruction is often necessary and depends on the delay of reconstruction, the size of the skin defect, the local skin capital and the general state of the patient [3]. Reconstruction of skin defect can be through healing by second intention, delayed primary closure, local scrotal advancement flap, split-thickness skin graft or flaps, which could be fasciocutaneous or musculocutaneous.…”
Section: Discussionmentioning
confidence: 99%
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“…3 Mortality rates vary wildly in the literature, ranging from 20% to 80%. 4 These infections are commonly polymicrobial in nature and have a predilection for immunocompromised and debilitated patients. 5 …”
Section: Introductionmentioning
confidence: 99%
“…Fournier’s gangrene (FG) is a subgroup of necrotizing fasciitis involving the perineal, genital or perianal regions [1] with an incidence of 1.6/100,000 males [2] Infectious organisms trigger an inflammatory response resulting in an obliterative endarteritis of surrounding vasculature [3]. This leads to vascular thrombosis of the soft tissue and ensuing necrosis [3].…”
Section: Introductionmentioning
confidence: 99%