Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/12299
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dc.contributor.authorSliwinski, Aniaen
dc.contributor.authorKavanagh, Liam Een
dc.contributor.authorBolton, Damien Men
dc.contributor.authorLawrentschuk, Nathanen
dc.contributor.authorCrock, John Gen
dc.date.accessioned2015-05-16T01:57:45Z
dc.date.available2015-05-16T01:57:45Z
dc.date.issued2014-05-06en
dc.identifier.citationInternational Braz J Urol : Official Journal of the Brazilian Society of Urology; 40(3): 423-6en
dc.identifier.govdoc25010310en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/12299en
dc.description.abstractFournier'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.en
dc.language.isoenen
dc.subject.otherAbdominal Wallen
dc.subject.otherCircumcision, Male.adverse effectsen
dc.subject.otherFournier Gangrene.surgeryen
dc.subject.otherHumansen
dc.subject.otherMaleen
dc.subject.otherPenile Diseases.surgeryen
dc.subject.otherReconstructive Surgical Procedures.methodsen
dc.subject.otherScrotum.surgeryen
dc.subject.otherSkin Transplantation.methodsen
dc.subject.otherSurgical Flaps.transplantationen
dc.subject.otherTransplant Donor Siteen
dc.subject.otherTreatment Outcomeen
dc.subject.otherYoung Adulten
dc.titleFournier's gangrene - delayed pedicle flap based upon the anterior abdominal wall.en
dc.typeJournal Articleen
dc.identifier.journaltitleInternational braz j urol : official journal of the Brazilian Society of Urologyen
dc.identifier.affiliationDepartment of Urology, University of Melbourne, Austin Hospital, Melbourne, Australiaen
dc.identifier.affiliationDepartment of Surgery, Monash University, Melbourne, Victoria, Australiaen
dc.description.pages423-6en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/25010310en
dc.type.austinJournal Articleen
local.name.researcherBolton, Damien M
item.openairetypeJournal Article-
item.cerifentitytypePublications-
item.grantfulltextnone-
item.fulltextNo Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.languageiso639-1en-
crisitem.author.deptUrology-
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