title: [Reconstructive methods after Fournier gangrene].
abstract: BACKGROUND
  Fournier's gangrene is a variant of the necrotizing fasciitis restricted to the perineal and genital region. It presents as an acute life-threatening disease and demands rapid surgical debridement, resulting in large soft tissue defects. Various reconstructive methods have to be applied to reconstitute functionality and aesthetics. The objective of this work is to identify different reconstructive methods in the literature and compare them to our current concepts for reconstructing defects caused by Fournier gangrene.
  
  
  METHODS
  Analysis of the current literature and our reconstructive methods on Fournier gangrene.
  
  
  RESULTS
  The Fournier gangrene is an emergency requiring rapid, calculated antibiotic treatment and radical surgical debridement. After the acute phase of the disease, appropriate reconstructive methods are indicated. The planning of the reconstruction of the defect depends on many factors, especially functional and aesthetic demands. Scrotal reconstruction requires a higher aesthetic and functional reconstructive degree than perineal cutaneous wounds. In general, thorough wound hygiene, proper pre-operative planning, and careful consideration of the patient's demands are essential for successful reconstruction.
  
  
  CONCLUSIONS
  In the literature, various methods for reconstruction after Fournier gangrene are described. Reconstruction with a flap is required for a good functional result in complex regions as the scrotum and penis, while cutaneous wounds can be managed through skin grafting. Patient compliance and tissue demand are crucial factors in the decision-making process.
authors.affiliation: Klinik für Plastische Chirurgie und Schwerbrandverletzte, Handchirurgiezentrum, Operatives Referenzzentrum für Gliedmaßentumoren, BG-Universitätsklinikum Bergmannsheil Bochum, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Deutschland. c.wallner88@gmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Wallner
authors.affiliation: Klinik für Plastische Chirurgie und Schwerbrandverletzte, Handchirurgiezentrum, Operatives Referenzzentrum für Gliedmaßentumoren, BG-Universitätsklinikum Bergmannsheil Bochum, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Behr
authors.affiliation: Klinik für Plastische Chirurgie und Schwerbrandverletzte, Handchirurgiezentrum, Operatives Referenzzentrum für Gliedmaßentumoren, BG-Universitätsklinikum Bergmannsheil Bochum, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Ring
authors.affiliation: Klinik für Plastische Chirurgie und Schwerbrandverletzte, Handchirurgiezentrum, Operatives Referenzzentrum für Gliedmaßentumoren, BG-Universitätsklinikum Bergmannsheil Bochum, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Deutschland.
authors.forename: B D
authors.initials: BD
authors.lastname: Mikhail
authors.affiliation: Klinik für Plastische Chirurgie und Schwerbrandverletzte, Handchirurgiezentrum, Operatives Referenzzentrum für Gliedmaßentumoren, BG-Universitätsklinikum Bergmannsheil Bochum, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Lehnhardt
authors.affiliation: Klinik für Plastische Chirurgie und Schwerbrandverletzte, Handchirurgiezentrum, Operatives Referenzzentrum für Gliedmaßentumoren, BG-Universitätsklinikum Bergmannsheil Bochum, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Daigeler
mesh_terms: D003131:Combined Modality Therapy; D016638:Critical Illness; D003558:Cystoscopy / Q000379:methods; D003646:Debridement / Q000379:methods*; D003937:Diagnosis, Differential; D003950:Diagnostic Techniques, Urological; D004630:Emergencies; D004632:Emergency Medical Services / Q000379:methods; D004638:Emergency Treatment / Q000379:methods*; D019317:Evidence-Based Medicine; D018934:Fournier Gangrene / Q000175:diagnosis* / Q000601:surgery*; D005858:Germany; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures
keywords: Fasciitis; Fasciitis, necrotizing; Reconstructive surgical procedures; Scrotum; Soft tissue infections