title: Scrotal reconstruction using a superficial circumflex iliac artery perforator flap following Fournier's gangrene.
abstract: Fournier's gangrene is a type of necrotising fasciitis around the scrotum and perineum. Because of its aggressive nature, patients should be treated with broad-spectrum antibiotics and emergency, radical debridement during the acute phase. After recovering from the acute phase, reconstruction of the scrotal and perineal soft tissue defects is needed and is often challenging. Traditionally, various reconstruction methods have been used, including skin grafts, fasciocutaneous flaps and musculocutaneous flaps, each with its pros and cons. We successfully covered a wide scrotal defect using a superficial circumflex iliac artery perforator flap, which has not been previously reported for this indication. The design and operative technique are introduced in this study.
authors.affiliation: Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
authors.forename: Hyun H
authors.initials: HH
authors.lastname: Han
authors.affiliation: Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea. tfm0822@catholic.ac.kr.
authors.forename: Jung H
authors.initials: JH
authors.lastname: Lee
authors.affiliation: Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
authors.forename: Sue M
authors.initials: SM
authors.lastname: Kim
authors.affiliation: Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
authors.forename: Young J
authors.initials: YJ
authors.lastname: Jun
authors.affiliation: Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
authors.forename: Young J
authors.initials: YJ
authors.lastname: Kim
mesh_terms: D000328:Adult; D019115:Fasciitis, Necrotizing / Q000601:surgery*; D018934:Fournier Gangrene / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D061525:Perforator Flap / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012611:Scrotum / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods*; D016896:Treatment Outcome
keywords: Fournier's gangrene; SCIP; Scrotal defect
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