Fournier's gangrene (FG) is a rare and acute form of necrotizing fasciitis involving the perineal region and genitalia with occasional extension up to the abdominal wall. The etiology of the FG is only partially understood, but in the majority of cases, aerobic and anaerobic bacteria are involved. FG is characterized by mortality rate ranging from 15 to 20 %, and for this reason, the disease must be treated aggressively. The key of management, after the emergency debridement of necrotic tissue, is a functional and esthetic reconstruction. We reported a case of FG in which the wide scrotal skin and fascia loss was managed with a propeller superficial artery perforator flap. Level of Evidence: Level V, therapeutic study. © 2014 Springer-Verlag.
Superficial circumflex iliac artery perforator flap in a case of Fournier's gangrene / Pagnotta, A.; Colicchia, G. M.; Tati, E.; Bocchini, I.; Orlandi, F.; Cervelli, V.. - In: EUROPEAN JOURNAL OF PLASTIC SURGERY. - ISSN 0930-343X. - 37:5(2014), pp. 305-308. [10.1007/s00238-014-0938-4]
Superficial circumflex iliac artery perforator flap in a case of Fournier's gangrene
Pagnotta A.;Bocchini I.;
2014
Abstract
Fournier's gangrene (FG) is a rare and acute form of necrotizing fasciitis involving the perineal region and genitalia with occasional extension up to the abdominal wall. The etiology of the FG is only partially understood, but in the majority of cases, aerobic and anaerobic bacteria are involved. FG is characterized by mortality rate ranging from 15 to 20 %, and for this reason, the disease must be treated aggressively. The key of management, after the emergency debridement of necrotic tissue, is a functional and esthetic reconstruction. We reported a case of FG in which the wide scrotal skin and fascia loss was managed with a propeller superficial artery perforator flap. Level of Evidence: Level V, therapeutic study. © 2014 Springer-Verlag.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
