Medial Femoral Circumflex Artery Perforator Based Fasciocutaneous Flap Aided in Healing of Scrotal Defect due to Fournier GangreneMedial Femoral Circumflex Artery Perforator Based Fasciocutaneous Flap Aided in Healing of Scrotal Defect due to Fournier Gangrene
- Other Titles
- Medial Femoral Circumflex Artery Perforator Based Fasciocutaneous Flap Aided in Healing of Scrotal Defect due to Fournier Gangrene
- Authors
- Seok Won Hong; 최환준; 김준혁
- Issue Date
- 2019
- Publisher
- 대한수부외과학회
- Keywords
- Necrotizing fasciitis; Perforator flap; Fournier gangrene; Perineum
- Citation
- Archives of Hand and Microsurgery, v.24, no.3, pp.254 - 259
- Journal Title
- Archives of Hand and Microsurgery
- Volume
- 24
- Number
- 3
- Start Page
- 254
- End Page
- 259
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/5019
- DOI
- 10.12790/ahm.2019.24.3.254
- ISSN
- 2586-3290
- 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 intrave-nous 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.
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