| Reconstruction of scrotal and perineal defects in Fournier's gangrene. | |
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MedLine Citation:
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PMID: 20797927 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Fournier's gangrene is an acute and potentially lethal necrotising fasciitis that involves the scrotum and perineum. This disease can result in the loss of skin and soft tissue. To repair the scrotal and perineal defects remains a surgical challenge. METHODS: Between January 2000 and December 2008, 50 patients were admitted to our hospital with a diagnosis of Fournier's gangrene. We retrospectively reviewed 31 of the 44 surviving patients, who needed reconstructive procedures for coverage of scrotal and perineal soft-tissue defects. The choice of reconstructive procedure was based on the size, location, severity of the defects and the availability of local tissue. The patients' age, predisposing factors, defect size and location, reconstructive procedures and outcomes were reviewed. RESULTS: The mean age of the patients was 53.6 years (range, 20-84 years). The average size of the skin defect was 86 cm(2). A total of 12 patients were treated by scrotal advancement flap coverage, nine by split-thickness skin graft, five by pudendal thigh flap, two by gracilis myocutaneous flap, one by gracilis muscle flap plus split-thickness skin graft and three by pedicle anterolateral thigh flap. The overall surgical complication rate was 16%. CONCLUSIONS: Early debridement and wound coverage in Fournier's gangrene are mandatory to allow patients to return to normal life. We set up a valuable reconstructive algorithm based on the characteristics of the defects and our 9 years of experience, which adds to the versatility of the armamentarium of the reconstructive surgeon. |
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Authors:
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Shih-Yi Chen; Ju-Peng Fu; Tim-Mo Chen; Shyi-Gen Chen |
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Publication Detail:
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Type: Journal Article Date: 2010-08-24 |
Journal Detail:
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Title: Journal of plastic, reconstructive & aesthetic surgery : JPRAS Volume: 64 ISSN: 1878-0539 ISO Abbreviation: J Plast Reconstr Aesthet Surg Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-03-14 Completed Date: 2011-05-31 Revised Date: 2011-10-19 |
Medline Journal Info:
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Nlm Unique ID: 101264239 Medline TA: J Plast Reconstr Aesthet Surg Country: Netherlands |
Other Details:
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Languages: eng Pagination: 528-34 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Division of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Debridement Fournier Gangrene / surgery* Humans Male Middle Aged Perineum / pathology, surgery* Retrospective Studies Scrotum / pathology, surgery* Surgical Flaps* Young Adult |
| Comments/Corrections | |
Comment In:
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J Plast Reconstr Aesthet Surg. 2011 Oct;64(10):1392-3
[PMID:
21514912
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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