title: Peri-vulvar reconstruction using internal pudendal artery perforator flap in female Fournier's gangrene.
abstract: Fournier's gangrene in female patients has low incidence rate but high mortality rate compared with that in males, with many cases resulting in death at acute phase. This is due to the differences in male and female genital anatomy, which should be fully understood by physicians to increase the patient's survival rate. After crossing the acute phase of the disease by an appropriate treatment, it is important to reconstruct vaginal or vulvar defects according to the patient's three-dimensional anatomical structures. Perforator flap based on internal pudendal artery is one of the ideal reconstructive techniques to resolve the aforementioned issue. The authors intend to introduce the distinguishing characteristics of Fournier's gangrene in female patients, and the surgical techniques to reconstruct the defects after the acute phase of disease.
authors.affiliation: Department of Plastic Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
authors.forename: Sang O
authors.initials: SO
authors.lastname: Baek
authors.affiliation: Department of Plastic Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
authors.forename: Seong H
authors.initials: SH
authors.lastname: Park
authors.affiliation: Department of Plastic Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
authors.forename: Jong W
authors.initials: JW
authors.lastname: Rhie
authors.affiliation: Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Meidicine, Seoul, Republic of Korea.
authors.forename: Hyun H
authors.initials: HH
authors.lastname: Han
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D018934:Fournier Gangrene / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D061525:Perforator Flap; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D015996:Survival Rate; D014621:Vagina / Q000601:surgery*; D014844:Vulva / Q000601:surgery*
keywords: Female; Founier's gangrene; Internal pudenal artery; Reconstruction; Vagina; Vulvar