|
KMID : 1143020190240030254
|
|
Archives of Hand and Microsurgery
2019 Volume.24 No. 3 p.254 ~ p.259
|
|
|
Medial Femoral Circumflex Artery Perforator Based Fasciocutaneous Flap Aided in Healing of Scrotal Defect due to Fournier Gangrene
|
|
Hong Seok-Won
Choi Hwan-Jun
Kim Jun-Hyuk
|
|
|
Abstract
|
|
|
|
Fournier’s gangrene is a rare, highly infectious necrotizing fasciitis of the perineum and genital area which is caused by a mixture of various bacterial organism. Treatment is predominantly surgical, including extensive and early drainage and debridement, considering negative-pressure wound therapy for helping to heal the wounds and broad-spectrum intravenous antibiotics therapy. Some reports have described the use of negative-pressure wound therapy combined with split thickness skin graft in the defect area. While, other recent reports suggest that local flap coverage rather than skin graft for reconstruction of perineal area. This study aims to suggest the use of medial femoral circumflex artery perforator based thigh flap for scrotal and perineal reconstruction in open areas secondary to the surgical debridement and negative-pressure wound therapy of Fournier’s gangrene.
|
|
|
KEYWORD
|
|
|
Necrotizing fasciitis, Perforator flap, Fournier gangrene, Perineum
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|
|