Split-thickness skin grafting: A modest technique for scrotal reconstruction in patients of Fournier’s gangrene

Background and Objectives: Fournier’s gangrene is rapidly progressive fulminating gangrene of the genitals and the perineum. The resulting skin loss can be covered by various techniques. Split thickness skin grafting (STSG) is a surgical technique which gives good functional and cosmetic outcome and is relatively easier to perform. We intend to study the results of split-thickness skin grafting in patients with scrotal defect following Fournier’s gangrene. Materials and Methods: Split-thickness skin graft was performed in seven patients with Fournier’s gangrene. The patients were selected consecutively from December 2016 to April 2018. All patients were followed for 3 to 6 months postoperatively. Results: All patients had good uptake of graft with no complications except two patients, one had infection at the graft site and in the other one there was a gap devoid of skin at the junction of perineum and base of scrotum. The first patient was managed conservatively with antibiotics and the gap in second patient was repaired by suturing. The donor site in all patients had healed well without any complications. Conclusion and Interpretations: STSG is safe, simple technique for scrotal reconstruction which is both cosmetically and physiologically compliant to the patient.