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KMID : 0358819910180010124
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1991 Volume.18 No. 1 p.124 ~ p.127
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SCROTAL RECONSTRUCTION WITH GRACILIS MYOCUTANEOUS FLAP IN FOURNIER´S GANGRENE
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이석기/Yi, Sok Ki
이종원/이형주/임풍/Rhie, Jong Won/Lee, Hyung Joo/Lim, Poong
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Abstract
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Fournier´s gangrene is a progressive tissue necrosis of scrotum this disease commonly occurred in alcoholics and diabetic patients. 60 year old patient shows toxic symptom and even sepsis, but the scrotal content is to be spared.
The treatment of this disease is adequate debridement and administration of sensitive antibiotics. If the scrotal content is exposed, the defect can be covered with skin graft, local flap, etc. But, when the scrotum shows marked fibrosis or inflammation, myocutaneous flap is inevitable. We experienced one case of scrotal defect due to Fournier´s gangrene, which was successfully covered with gracilis myocutaneous flap.
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