Algorithm of rational approach to reconstruction in Fournier's disease.

Autor:	Tripodi D; Department of Surgical Sciences, Sapienza University of Rome, Rome, CAP 00161, Italy., Amabile MI; Department of Surgical Sciences, Sapienza University of Rome, Rome, CAP 00161, Italy., Gagliardi F; Department of Surgical Sciences, Sapienza University of Rome, Rome, CAP 00161, Italy., Frusone F; Department of Surgical Sciences, Sapienza University of Rome, Rome, CAP 00161, Italy., Varanese M; Department of Surgical Sciences, Sapienza University of Rome, Rome, CAP 00161, Italy., De Luca A; Department of Surgical Sciences, Sapienza University of Rome, Rome, CAP 00161, Italy., Pironi D; Department of Surgical Sciences, Sapienza University of Rome, Rome, CAP 00161, Italy., D' Andrea V; Department of Surgical Sciences, Sapienza University of Rome, Rome, CAP 00161, Italy., Sorrenti S; Department of Surgical Sciences, Sapienza University of Rome, Rome, CAP 00161, Italy., Cannistrà C; Plastic and Reconstructive Surgery Unit, Centre Hospitalier Universitaire Bichat Claude-Bernard, Paris, France.
Jazyk:	angličtina
Zdroj:	Open medicine (Warsaw, Poland) [Open Med (Wars)] 2021 Jul 09; Vol. 16 (1), pp. 1028-1037. Date of Electronic Publication: 2021 Jul 09 (Print Publication: 2021).
DOI:	10.1515/med-2021-0294
Abstrakt:	Background: Fournier's gangrene is a rare form of necrotizing fasciitis that affects the genital area up to the perineal region and sometimes the abdominal wall. Objectives: Our article aims to show that in the treatment of extensive forms of Fournier's gangrene, correct use of flap and skin grafts and a quick reconstruction of the exposed tissues avoid scarring retraction of the testicles and deformation of the penis. Materials and Methods: We retrospectively reviewed the clinical and photographic data of Fournier's gangrene cases treated at our Institute. The data were evaluated to obtain an estimate of the results of the reconstructive technique used, in terms of percentage of occurred healings and eventual complications. Results: A total of 34 patients underwent surgery for Fournier's gangrene. In nine cases (26.5%), we had minor complications: in four patients, suffering from diabetes and obesity, a retard in attachment of graft occurred, while in five patients with perianal problems there was a delay in healing due to the onset of local infection. Conclusion: The reconstruction approach described here may reduce surgical times. In Fournier's gangrene, the exposed tissues must be reconstructed as quickly as possible. Competing Interests: Conflict of interest: The authors declare that they have no conflict of interest. (© 2021 Domenico Tripodi et al., published by De Gruyter.)
Databáze:	MEDLINE
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