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

Document Type

Article

Publication Date

4-15-2021

Publication Title

BMJ Case Rep

Abstract

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.

Volume

14

Issue

4

First Page

e240618

Last Page

e240618

DOI

10.1136/bcr-2020-240618

ISSN

1757-790X

PubMed ID

33858892

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