Arch Hand Microsurg 2019; 24(3): 254-259  
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
Correspondence to: Hwan Jun Choi
Department of Plastic and Reconstructive Surgery, Soonchunhyang University Cheonan Hospital, 31 Sooncheonhyang 6-gil, Dongnam-gu, Cheonan 31151, Korea
TEL: +82-41-570-2195, FAX: +82-41-574-6133, E-mail: medi619@hanmail.net, ORCID: https://orcid.org/0000-0002-0752-0389
Received: February 7, 2019; Revised: July 20, 2019; Accepted: August 12, 2019; Published online: September 1, 2019.
© Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
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.
Keywords: Necrotizing fasciitis, Perforator flap, Fournier gangrene, Perineum


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