Open AccessMedial thigh fasciocutaneous flaps for reconstruction of the scrotum following Fournier gangrene: A case report
Author(s) -
Mwenibamba Rodrigue Mupenda,
Nteranya Daniel Safari,
Mukakala Augustin Kibonge,
Wabene Christian Bisimwa,
Rugendabanga Angelique Mufariji,
Kibukila Fabrice,
Mitima Nathan Bisimwa,
Niyondiko Jean Claude
Publication year - 2022
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.5747
Subject(s) - medicine , scrotum , fournier gangrene , gangrene , thigh , surgery , fasciitis , perineum , debridement (dental) , inguinal ligament , necrotising fasciitis
Fournier's gangrene, a rapidly progressive necrotizing fasciitis of the perineum and external genitalia that leads to extensive soft tissue necrosis, remains a medical‐surgical emergency. The authors present a case of coverage of a scrotal loss of substance with testicular exposure by a medial fasciocutaneous flap of the unilateral thigh after debridement and initial medical treatment of Fournier's gangrene in a 50‐year‐old quadriplegic patient. The clinical examination at 8 months showed an aesthetic and functional result. The trophic‐cutaneous thigh flap that the authors propose for frail, elderly, and neurological subjects with low functional requirements allows coverage of the scrotal region with relatively thick skin, color, and texture close to those of the scrotum. It also offers technical simplicity, moderate scarring, and functional remnants at the price of less morbidity.