Reconstruction of the Soft Tissue Defect in Fournier

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Journal of the Korean Society for Surgery of the Hand 2003;12(1):13-18.
Published online May 31, 2003.

Sung Bo Seo, M.D., Yang Soo Kang, M.D., Ji Seon Cheon, M.D., Jeong Yeol Yang, M.D.

Fournier 괴사 환자의 연부조직 결손 재건술

서성보·강양수·천지선·양정열

Abstract

  Fournier’s gangrene is a synergistic necrotizing fasciitis of the perineal, perirectal and urogenital area and can be fatal unless treated in early stage. Perianal and urogenital infections are common causes of the disease but it can occur after artificial procedure on perineal area using by surgical instruments. It is mixed aerobic and anaerobic infection and E. coli is the most common causative bacteria. Untill now many investigators have focused on early diagnosis, preserving hemodynamic stability, broad-spectrum systemic antibiotics and treatment of underlying disease in management of Fournier’s gangrene.
  The authors have experienced five patients of chronic liver disease whose necrotizing perineal infections developed spontaneously and treated them aggressively as described above and reconstructed perineal soft tissue defects using by various surgical methods, then we got good results both functionary and cosmetically.
  From now on, we would better reconstruct soft tissue defect of perineum with skin graft or pedicled flap in early stage when treat Fournier’s gangrene, thereafter we can get an ultimate increase in patient’s life quality.

Key Words: Fournier’s gangrene

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