2020Journal of Critical ReviewsOpen access

SUCCESSFUL SCROTAL RECONSTRUCTION BY SPLIT THICKNESS SKIN GRAFTING IN FOURNIERS GANGRENE

Viral chaitanya bhatt, Anil sonkar, A Sambandamurthy

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Abstract

Fourniers gangrene is a rare fatal polymicrobial soft tissue infection of perineum, perianal region and external genitalia. It is a form of necrotizing fasciitis. It is aggravated more in diabetics, immunocompromised patients. Immediate fluid resuscitation, parenteral broad spectrum antibiotics with insulin therapy if needed & surgical debridement should be planned. Post operatively, after healthy wound and negative pus culture, patient is planned for reconstruction of the raw area by various wound closure techniques. We report a successful reconstruction of scrotum with help of split thickness skin grafting in our patient of Fournier’s gangrene.

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Fourniers gangrene is a rare fatal polymicrobial soft tissue infection of perineum, perianal region and external genitalia. It is a form of necrotizing fasciitis. It is aggravated more in diabetics, immunocompromised patients. Immediate fluid resuscitation, parenteral broad spectrum antibiotics with insulin therapy if needed & surgical debridement should be planned. Post operatively, after healthy wound and negative pus culture, patient is planned for reconstruction of the raw area by various wound closure techniques. We report a successful reconstruction of scrotum with help of split thickness skin grafting in our patient of Fournier’s gangrene.

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Available abstract

Fourniers gangrene is a rare fatal polymicrobial soft tissue infection of perineum, perianal region and external genitalia. It is a form of necrotizing fasciitis. It is aggravated more in diabetics, immunocompromised patients. Immediate fluid resuscitation, parenteral broad spectrum antibiotics with insulin therapy if needed & surgical debridement should be planned. Post operatively, after healthy wound and negative pus culture, patient is planned for reconstruction of the raw area by various wound closure techniques. We report a successful reconstruction of scrotum with help of split thickness skin grafting in our patient of Fournier’s gangrene.

Key concepts: Scrotum, Medicine, Perineum, Skin grafting, Gangrene, Fasciitis, Surgery, Fournier gangrene

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