[Fournier's gangrene: from urological emergency to plastic surgery].
Fournier's gangrene (FG) is a rare and potentially fatal infectious disease characterised by necrotic fasciitis of the perineum and abdominal wall in addition to the scrotum and penis in men and the vulva in women. Skin loss can be very damaging and difficult to repair. This condition must be treated aggressively. Several techniques are used to reconstruct lost tissue: skin grafts, transposition of the testicles and spermatic cords to a subcutaneous pocket in the upper thigh, scrotal musculocutaneous flaps, fasciocutaneous flaps and several other types of pediculated myocutaneous flaps are all employed. The supero-medial thigh skin flap is a likely arterial flap and has been shown to be an effective method for reconstructing large scrotal defects.
Horta
Ricardo
R
Departamento de Cirurgia Plástica, Reconstructiva, Maxilo-facial y Unidad de Quemados, Hospital de São João, Universidad de Porto, Porto, Portugal. rickhardinho@hotmail.com
Cerqueira
Manuel
M
Marques
Marisa
M
Ferreira
Pedro
P
Reis
Jorge
J
Amarante
José
J
D004638:Emergency Treatment; D018934:Fournier Gangrene / Q000601:surgery*; D005832:Genital Diseases, Male / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods; D013521:Urologic Surgical Procedures, Male / Q000379:methods