Anterolateral Thigh Flap for Abdominal Wall Defect After Debridement for Meleney's With Fournier's Gangrene: A Case Report of a Rare Outcome.
| Autor: | Lakshmanan A; Institute of General Surgery, Madras Medical College, Chennai, IND., Dg G; Institute of General Surgery, Madras Medical College, Chennai, IND., M SG; Institute of General Surgery, Madras Medical College, Chennai, IND., Ak KD; Institute of General Surgery, Madras Medical College, Chennai, IND. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Nov 02; Vol. 16 (11), pp. e72906. Date of Electronic Publication: 2024 Nov 02 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.72906 |
| Abstrakt: | Meleney's gangrene is a synergistic polymicrobial infection of the anterior abdominal wall causing rapidly progressive necrotizing fasciitis of skin and subcutaneous tissues. When combined with Fournier's gangrene, the mortality rates are higher. Here, we discuss a case of Meleney's with Fournier's gangrene managed with appropriate antibiotics and extensive wound debridement, followed by a successful split-thickness skin grafting of the lower anterior abdominal wall and scrotum. The patient presented after three months with a ventral hernia. The hernial sac was de-epithelialized and preperitoneal on-lay mesh repair was done. The defect necessitated a flap cover. Hence, a lateral circumflex artery-based pedicled anterolateral thigh (ALT) flap was raised and placed over the mesh to restore the fascial contour and structural integrity of the abdominal wall. Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Lakshmanan et al.) |
| Databáze: | MEDLINE |
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