Medial Femoral Circumflex Artery Perforator Based Fasciocutaneous Flap Aided in Healing of Scrotal Defect due to Fournier Gangrene

Hong,  Seok Won; Choi,  Hwan Jun; Kim,  Jun Hyuk

doi:2019.24.3.254

Arch Hand Microsurg > Volume 24(3); 2019 > Article

Case Report

Archives of Hand and Microsurgery 2019;24(3):254-259.
Published online September 1, 2019.
DOI: https://doi.org/10.12790/ahm.2019.24.3.254

Medial Femoral Circumflex Artery Perforator Based Fasciocutaneous Flap Aided in Healing of Scrotal Defect due to Fournier Gangrene

Seok Won Hong¹, Hwan Jun Choi^1,2, Jun Hyuk Kim¹

¹Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, Cheonan, Korea. medi619@hanmail.net
²Institute of Tissue Regeneration, Soonchunhyang University, Cheonan, Korea.

Received: 7 February 2019 • Revised: 20 July 2019 • Accepted: 12 August 2019

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.

Key Words: Necrotizing fasciitis, Perforator flap, Fournier gangrene, Perineum