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Title: Fournier's gangrene - delayed pedicle flap based upon the anterior abdominal wall.
Austin Authors: Sliwinski, Ania;Kavanagh, Liam E;Bolton, Damien M ;Lawrentschuk, Nathan;Crock, John G
Affiliation: Department of Urology, University of Melbourne, Austin Hospital, Melbourne, Australia
Department of Surgery, Monash University, Melbourne, Victoria, Australia
Issue Date: 6-May-2014
Publication information: International Braz J Urol : Official Journal of the Brazilian Society of Urology; 40(3): 423-6
Abstract: Fournier's gangrene is a poly-microbial necrotizing fasciitis that involves the perineum and/or external genitalia. Urgent surgical debridement is well recognized as essential acute treatment yet unique challenges arise for plastic surgical reconstruction to obtain a complete functional recovery. This case describes a successful delayed pedicle flap repair based upon the anterior abdominal wall.A 24 year old man was admitted to ICU ten days after elective circumcision with Fournier's gangrene. He underwent a number of surgical debridements, and was referred for plastic surgical management. He had penile reconstruction using a random pattern abdominal flap, which was performed as a three stage procedure including flap vascular delay technique.Perineal and penile skin loss can be significant and is difficult to repair. Various techniques have been used to reconstruct lost tissue: skin grafts, transposition of the testes and spermatic cords to the thigh, flaps, and other types of pediculated myocutaneous flaps. Muscle flap reconstruction provides an environment that allows for complete regeneration of the urethral epithelium but is bulky and unsightly. Skin grafts contract and may produce painful and dysfunctional reconstructions. This novel technique produces a functional, and aesthetic reconstruction.Penile skin recovery following Fournier's gangrene recovery is problematic. This case demonstrates the functionality of a delayed flap repair using the anterior abdominal wall.
Gov't Doc #: 25010310
Journal: International braz j urol : official journal of the Brazilian Society of Urology
Type: Journal Article
Subjects: Abdominal Wall
Circumcision, Male.adverse effects
Reconstructive Surgical Procedures.methods
Skin Transplantation.methods
Surgical Flaps.transplantation
Transplant Donor Site
Treatment Outcome
Young Adult
Appears in Collections:Journal articles

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