Abdominal dermocutaneous flap for reconstruction of a bleeding area in necrotizing fasciitis

INTRODUCTION: The sequelae caused by Fournier's syndrome are extensive, systemic, debilitating, and deforming. They require both general and local treatments with antibiotics and subsequent debridement to delimit non-necrotic margins, which result from extensive bleeding areas. METH...

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Bibliographic Details
Main Authors: Roger Nayef Fakhouri, Ricardo Baroudi
Format: Article
Language:English
Published: Sociedade Brasileira de Cirurgia Plástica 2016-12-01
Series:Revista Brasileira de Cirurgia Plástica
Subjects:
Online Access:http://www.rbcp.org.br/export-pdf/1804/en_v31n4a26.pdf
Description
Summary:INTRODUCTION: The sequelae caused by Fournier's syndrome are extensive, systemic, debilitating, and deforming. They require both general and local treatments with antibiotics and subsequent debridement to delimit non-necrotic margins, which result from extensive bleeding areas. METHODS: The area affected and described in this study is the upper third of the right thigh. The goal was to use the dermocutaneous excess, usually removed in abdominoplasties. Abdominoplasty was routinely performed, and the cutaneous excess of the hypogastrium was transferred to cover a bleeding area in the upper third of the thigh throughout its extension. In the bleeding region, adequate occlusion was performed, and a tissue with similar thickness and elasticity was used to minimize the deformities that affected both the donor and receiving areas. RESULTS: The bleeding area was covered in a single surgery. CONCLUSION: The use of the cutaneous excess of the hypogastrium to cover the bleeding region of the upper third of the thigh is an alternative technique, which can be conducted in a single surgery in patients presenting excess abdominal skin.
ISSN:1983-5175
2177-1235