- 作者：Ricardo Horta ; rickhardinho@hotmail.com ; Manuel Cerqueira ; Marisa Marques ; Pedro Ferreira ; Jorge Reis ; José ; Amarante
- 关键词：Gangrena de Fournier ; Cirugí ; a plá ; stica ; Reconstrucció ; n escrotal
- 刊名：Actas Urol贸gicas Espa帽olas
- 出版年：2009
- 期刊代码：pca37_02104806
- 类别：med
- 出版时间：September 2009
- 卷：33
- 期：8
- 页码：925-929
- 文件大小：411 K
Fournier's gangrene (FG) is a rare and potentially fatal infectious disease characterised by necrotic fasciitis of the perineum and abdominal wall in addition to the scrotum and penis in men and the vulva in women. Skin loss can be very damaging and difficult to repair. This condition must be treated aggressively. Several techniques are used to reconstruct lost tissue: skin grafts, transposition of the testicles and spermatic cords to a subcutaneous pocket in the upper thigh, scrotal musculocutaneous flaps, fasciocutaneous flaps and several other types of pediculated myocutaneous flaps are all employed.
The supero-medial thigh skin flap is a likely arterial flap and has been shown to be an effective method for reconstructing large scrotal defects.