Medial thigh fasciocutaneous flaps for reconstruction of the scrotum following Fournier gangrene: A case report.

Autor: Mwenibamba RM; Surgery Department University Clinics of Bukavu Official University of Bukavu Bukavu Democratic Republic of the Congo., Nteranya DS; Surgery Department University Clinics of Bukavu Official University of Bukavu Bukavu Democratic Republic of the Congo., Mukakala AK; Surgery Department University Clinics of Bukavu Official University of Bukavu Bukavu Democratic Republic of the Congo.; Faculty of Medicine University of Lubumbashi Lubumbashi Democratic Republic of the Congo., Wabene CB; Surgery Department University Clinics of Bukavu Official University of Bukavu Bukavu Democratic Republic of the Congo., Rugendabanga AM; Surgery Department University Clinics of Bukavu Official University of Bukavu Bukavu Democratic Republic of the Congo., Kibukila F; Surgery Department University Clinics of Bukavu Official University of Bukavu Bukavu Democratic Republic of the Congo.; Surgery Department Kamenge Teaching Hospital University of Burundi Bujumbura Burundi., Mitima NB; Surgery Department University Clinics of Bukavu Official University of Bukavu Bukavu Democratic Republic of the Congo., Niyondiko JC; Surgery Department Kamenge Teaching Hospital University of Burundi Bujumbura Burundi.
Jazyk: angličtina
Zdroj: Clinical case reports [Clin Case Rep] 2022 Apr 18; Vol. 10 (4), pp. e05747. Date of Electronic Publication: 2022 Apr 18 (Print Publication: 2022).
DOI: 10.1002/ccr3.5747
Abstrakt: Fournier's gangrene, a rapidly progressive necrotizing fasciitis of the perineum and external genitalia that leads to extensive soft tissue necrosis, remains a medical-surgical emergency. The authors present a case of coverage of a scrotal loss of substance with testicular exposure by a medial fasciocutaneous flap of the unilateral thigh after debridement and initial medical treatment of Fournier's gangrene in a 50-year-old quadriplegic patient. The clinical examination at 8 months showed an aesthetic and functional result. The trophic-cutaneous thigh flap that the authors propose for frail, elderly, and neurological subjects with low functional requirements allows coverage of the scrotal region with relatively thick skin, color, and texture close to those of the scrotum. It also offers technical simplicity, moderate scarring, and functional remnants at the price of less morbidity.
Competing Interests: None.
(© 2022 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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