Reconstruction of the Necrotic Scrotum with Hydrosurgery System and Pedicle DIEP Flap: A Case Report of Fournier Gangrene
Summary:. Despite medical advances, the mortality rate associated with Fournier gangrene has remained largely unchanged and extremely high. In addition, conventional surgical treatment of Fournier gangrene of the scrotum requires excision of the testicles in some cases, which can result in loss of f...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2020-09-01
|
| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003135 |
| _version_ | 1818113185570357248 |
|---|---|
| author | Yuma Makino, MD Hajime Matsumine, MD, PhD Hiroshi Fujimaki, MD Mika Takagi, MD Masaki Takeuchi, MD, PhD |
| author_facet | Yuma Makino, MD Hajime Matsumine, MD, PhD Hiroshi Fujimaki, MD Mika Takagi, MD Masaki Takeuchi, MD, PhD |
| author_sort | Yuma Makino, MD |
| collection | DOAJ |
| description | Summary:. Despite medical advances, the mortality rate associated with Fournier gangrene has remained largely unchanged and extremely high. In addition, conventional surgical treatment of Fournier gangrene of the scrotum requires excision of the testicles in some cases, which can result in loss of fertility. We report herein the favorable results of reconstruction of the scrotum following Fournier gangrene, using the hydrosurgery system and pedicled deep inferior epigastric perforator flap. A 60-year-old male patient was urgently transported to our hospital for fever, lower abdominal pain, and scrotal pain for several days. He was diagnosed with Fournier gangrene and underwent an emergency debridement procedure on the same day. Later, we performed a 2-phase reconstruction with a hydrosurgery system and pedicled deep inferior epigastric perforator flap under general anesthesia for the postoperative tissue defect. At 6 months postoperatively, there was no ulceration or scar contracture, and the results were aesthetically pleasing. There are no reported cases of reconstruction of the scrotum following Fournier gangrene using this procedure, and it might be an effective treatment option. |
| first_indexed | 2024-12-11T03:30:49Z |
| format | Article |
| id | doaj.art-d783161e485c444f8ebb4a7708fcebd5 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-11T03:30:49Z |
| publishDate | 2020-09-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-d783161e485c444f8ebb4a7708fcebd52022-12-22T01:22:23ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742020-09-0189e313510.1097/GOX.0000000000003135202009000-00047Reconstruction of the Necrotic Scrotum with Hydrosurgery System and Pedicle DIEP Flap: A Case Report of Fournier GangreneYuma Makino, MD0Hajime Matsumine, MD, PhD1Hiroshi Fujimaki, MD2Mika Takagi, MD3Masaki Takeuchi, MD, PhD4From the Department of Plastic and Reconstructive Surgery, Yachiyo Medical Center, Tokyo Women’s Medical University, Yachiyo-shi, Chiba, JapanFrom the Department of Plastic and Reconstructive Surgery, Yachiyo Medical Center, Tokyo Women’s Medical University, Yachiyo-shi, Chiba, JapanFrom the Department of Plastic and Reconstructive Surgery, Yachiyo Medical Center, Tokyo Women’s Medical University, Yachiyo-shi, Chiba, JapanFrom the Department of Plastic and Reconstructive Surgery, Yachiyo Medical Center, Tokyo Women’s Medical University, Yachiyo-shi, Chiba, JapanFrom the Department of Plastic and Reconstructive Surgery, Yachiyo Medical Center, Tokyo Women’s Medical University, Yachiyo-shi, Chiba, JapanSummary:. Despite medical advances, the mortality rate associated with Fournier gangrene has remained largely unchanged and extremely high. In addition, conventional surgical treatment of Fournier gangrene of the scrotum requires excision of the testicles in some cases, which can result in loss of fertility. We report herein the favorable results of reconstruction of the scrotum following Fournier gangrene, using the hydrosurgery system and pedicled deep inferior epigastric perforator flap. A 60-year-old male patient was urgently transported to our hospital for fever, lower abdominal pain, and scrotal pain for several days. He was diagnosed with Fournier gangrene and underwent an emergency debridement procedure on the same day. Later, we performed a 2-phase reconstruction with a hydrosurgery system and pedicled deep inferior epigastric perforator flap under general anesthesia for the postoperative tissue defect. At 6 months postoperatively, there was no ulceration or scar contracture, and the results were aesthetically pleasing. There are no reported cases of reconstruction of the scrotum following Fournier gangrene using this procedure, and it might be an effective treatment option.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003135 |
| spellingShingle | Yuma Makino, MD Hajime Matsumine, MD, PhD Hiroshi Fujimaki, MD Mika Takagi, MD Masaki Takeuchi, MD, PhD Reconstruction of the Necrotic Scrotum with Hydrosurgery System and Pedicle DIEP Flap: A Case Report of Fournier Gangrene Plastic and Reconstructive Surgery, Global Open |
| title | Reconstruction of the Necrotic Scrotum with Hydrosurgery System and Pedicle DIEP Flap: A Case Report of Fournier Gangrene |
| title_full | Reconstruction of the Necrotic Scrotum with Hydrosurgery System and Pedicle DIEP Flap: A Case Report of Fournier Gangrene |
| title_fullStr | Reconstruction of the Necrotic Scrotum with Hydrosurgery System and Pedicle DIEP Flap: A Case Report of Fournier Gangrene |
| title_full_unstemmed | Reconstruction of the Necrotic Scrotum with Hydrosurgery System and Pedicle DIEP Flap: A Case Report of Fournier Gangrene |
| title_short | Reconstruction of the Necrotic Scrotum with Hydrosurgery System and Pedicle DIEP Flap: A Case Report of Fournier Gangrene |
| title_sort | reconstruction of the necrotic scrotum with hydrosurgery system and pedicle diep flap a case report of fournier gangrene |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003135 |
| work_keys_str_mv | AT yumamakinomd reconstructionofthenecroticscrotumwithhydrosurgerysystemandpediclediepflapacasereportoffourniergangrene AT hajimematsuminemdphd reconstructionofthenecroticscrotumwithhydrosurgerysystemandpediclediepflapacasereportoffourniergangrene AT hiroshifujimakimd reconstructionofthenecroticscrotumwithhydrosurgerysystemandpediclediepflapacasereportoffourniergangrene AT mikatakagimd reconstructionofthenecroticscrotumwithhydrosurgerysystemandpediclediepflapacasereportoffourniergangrene AT masakitakeuchimdphd reconstructionofthenecroticscrotumwithhydrosurgerysystemandpediclediepflapacasereportoffourniergangrene |