Fournier?s gangrene - delayed pedicle flap based upon the anterior abdominal wall
Introduction Fournier’s gangrene is a poly-microbial necrotizing fasciitis that involves the perineum and/or external genitalia. Urgent surgical debridement is well recognized as essential acute treatment yet unique challenges arise for plastic surgical reconstruction to obtain a complete functiona...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Urologia
2014-06-01
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| Series: | International Brazilian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382014000300423&lng=en&tlng=en |
| _version_ | 1818060048811687936 |
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| author | Ania Sliwinski Liam E. Kavanagh Damien Bolton Nathan Lawrentschuk John G. Crock |
| author_facet | Ania Sliwinski Liam E. Kavanagh Damien Bolton Nathan Lawrentschuk John G. Crock |
| author_sort | Ania Sliwinski |
| collection | DOAJ |
| description | Introduction Fournier’s gangrene is a poly-microbial necrotizing fasciitis that involves the perineum and/or external genitalia. Urgent surgical debridement is well recognized as essential acute treatment yet unique challenges arise for plastic surgical reconstruction to obtain a complete functional recovery. This case describes a successful delayed pedicle flap repair based upon the anterior abdominal wall. Case description A 24 year old man was admitted to ICU ten days after elective circumcision with Fournier’s gangrene. He underwent a number of surgical debridements, and was referred for plastic surgical management. He had penile reconstruction using a random pattern abdominal flap, which was performed as a three stage procedure including flap vascular delay technique. Discussion Perineal and penile skin loss can be significant and is difficult to repair. Various techniques have been used to reconstruct lost tissue: skin grafts, transposition of the testes and spermatic cords to the thigh, flaps, and other types of pediculated myocutaneous flaps. Muscle flap reconstruction provides an environment that allows for complete regeneration of the urethral epithelium but is bulky and unsightly. Skin grafts contract and may produce painful and dysfunctional reconstructions. This novel technique produces a functional, and aesthetic reconstruction. Conclusion Penile skin recovery following Fournier’s gangrene recovery is problematic. This case demonstrates the functionality of a delayed flap repair using the anterior abdominal wall. |
| first_indexed | 2024-12-10T13:26:14Z |
| format | Article |
| id | doaj.art-cc8477a30c72474a8ed3e3e083bc1a7c |
| institution | Directory Open Access Journal |
| issn | 1677-6119 |
| language | English |
| last_indexed | 2024-12-10T13:26:14Z |
| publishDate | 2014-06-01 |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-cc8477a30c72474a8ed3e3e083bc1a7c2022-12-22T01:47:11ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-61192014-06-0140342342610.1590/S1677-5538.IBJU.2014.03.18S1677-55382014000300423Fournier?s gangrene - delayed pedicle flap based upon the anterior abdominal wallAnia SliwinskiLiam E. KavanaghDamien BoltonNathan LawrentschukJohn G. CrockIntroduction Fournier’s gangrene is a poly-microbial necrotizing fasciitis that involves the perineum and/or external genitalia. Urgent surgical debridement is well recognized as essential acute treatment yet unique challenges arise for plastic surgical reconstruction to obtain a complete functional recovery. This case describes a successful delayed pedicle flap repair based upon the anterior abdominal wall. Case description A 24 year old man was admitted to ICU ten days after elective circumcision with Fournier’s gangrene. He underwent a number of surgical debridements, and was referred for plastic surgical management. He had penile reconstruction using a random pattern abdominal flap, which was performed as a three stage procedure including flap vascular delay technique. Discussion Perineal and penile skin loss can be significant and is difficult to repair. Various techniques have been used to reconstruct lost tissue: skin grafts, transposition of the testes and spermatic cords to the thigh, flaps, and other types of pediculated myocutaneous flaps. Muscle flap reconstruction provides an environment that allows for complete regeneration of the urethral epithelium but is bulky and unsightly. Skin grafts contract and may produce painful and dysfunctional reconstructions. This novel technique produces a functional, and aesthetic reconstruction. Conclusion Penile skin recovery following Fournier’s gangrene recovery is problematic. This case demonstrates the functionality of a delayed flap repair using the anterior abdominal wall.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382014000300423&lng=en&tlng=enFournier GangreneSurgical FlapsAbdominal Wall |
| spellingShingle | Ania Sliwinski Liam E. Kavanagh Damien Bolton Nathan Lawrentschuk John G. Crock Fournier?s gangrene - delayed pedicle flap based upon the anterior abdominal wall International Brazilian Journal of Urology Fournier Gangrene Surgical Flaps Abdominal Wall |
| title | Fournier?s gangrene - delayed pedicle flap based upon the anterior abdominal wall |
| title_full | Fournier?s gangrene - delayed pedicle flap based upon the anterior abdominal wall |
| title_fullStr | Fournier?s gangrene - delayed pedicle flap based upon the anterior abdominal wall |
| title_full_unstemmed | Fournier?s gangrene - delayed pedicle flap based upon the anterior abdominal wall |
| title_short | Fournier?s gangrene - delayed pedicle flap based upon the anterior abdominal wall |
| title_sort | fournier s gangrene delayed pedicle flap based upon the anterior abdominal wall |
| topic | Fournier Gangrene Surgical Flaps Abdominal Wall |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382014000300423&lng=en&tlng=en |
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