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Arch Hand Microsurg > Volume 24(3); 2019 > Article
Archives of Hand and Microsurgery 2019;24(3):254-259.
Published online September 1, 2019.
Medial Femoral Circumflex Artery Perforator Based Fasciocutaneous Flap Aided in Healing of Scrotal Defect due to Fournier Gangrene
Seok Won Hong1, Hwan Jun Choi1,2, Jun Hyuk Kim1
1Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, Cheonan, Korea.
2Institute of Tissue Regeneration, Soonchunhyang University, Cheonan, Korea.
Received: 7 February 2019   • Revised: 20 July 2019   • Accepted: 12 August 2019
Fournier's gangrene is a rare, highly infectious necrotizing fasciitis of the perineum and genital area which is caused by a mixture of various bacterial organism. Treatment is predominantly surgical, including extensive and early drainage and debridement, considering negative-pressure wound therapy for helping to heal the wounds and broad-spectrum intravenous antibiotics therapy. Some reports have described the use of negative-pressure wound therapy combined with split thickness skin graft in the defect area. While, other recent reports suggest that local flap coverage rather than skin graft for reconstruction of perineal area. This study aims to suggest the use of medial femoral circumflex artery perforator based thigh flap for scrotal and perineal reconstruction in open areas secondary to the surgical debridement and negative-pressure wound therapy of Fournier's gangrene.
Key Words: Necrotizing fasciitis, Perforator flap, Fournier gangrene, Perineum

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