Scrotal reconstruction using a superficial circumflex iliac artery perforator flap following Fournier's gangrene - Abstract

Fournier's gangrene is a type of necrotising fasciitis around the scrotum and perineum.

Because of its aggressive nature, patients should be treated with broad-spectrum antibiotics and emergency, radical debridement during the acute phase. After recovering from the acute phase, reconstruction of the scrotal and perineal soft tissue defects is needed and is often challenging. Traditionally, various reconstruction methods have been used, including skin grafts, fasciocutaneous flaps and musculocutaneous flaps, each with its pros and cons. We successfully covered a wide scrotal defect using a superficial circumflex iliac artery perforator flap, which has not been previously reported for this indication. The design and operative technique are introduced in this study.

Written by:
Han HH, Lee JH, Kim SM, Jun YJ, Kim YJ.   Are you the author?
Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea.

Reference: Int Wound J. 2014 Aug 5. Epub ahead of print.
doi: 10.1111/iwj.12353

PubMed Abstract
PMID: 25091799 Infections Section