PARTIAL SKIN GRAFT IN TESTICULAR SAC, AN ALTERNATIVE FOR RECONSTRUCTION
DOI:
https://doi.org/10.63845/866rhy87Keywords:
Fournier Gangrene, Wound Closure Techniques, Skin GraftAbstract
Introduction: Fournier's syndrome is a multibacterial infection that mainly affects the perineal region; its treatment includes clinical stabilization of the patient, large expectrum antibiotic therapy and several debridements. Due to extensive tissue loss, reconstruction of the region is necessary, with partial skin grafting being a good alternative.Objective: to present a possibility other than the use of flaps - less aggressive - in perineal construction.Methods: We present two cases of partial skin grafting in the scrotal region, after preparing the recipient bed with a non-adherent petrolatum dressing bag.Conclusion: As described by Morey et al., partial skin grafting in a scrotum is a functional and safe alternative for some cases. Although not the gold standard, it presents itself as an effective and low-cost option.
References
Balbinot P, Ascenço ASK, NasserIJG, Berri DT, Maluf Junior I, Lopes MC, et al. Fournier gangrene: Reconstruction of the scrotal sac with a fasciocutaneous flap from the internal thigh region. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery. 2015;30(2). DOI: https://doi.org/10.5935/2177-1235.2015RBCP0159
Ferreira PC, Reis JC, Amarante JM, Silva ÁC, Pinho CJ, Oliveira IC, et al. Fournier’s gangrene: A review of 43 reconstructive cases. Vol. 119, Plastic and Reconstructive Surgery. 2007. p. 175–84. DOI: https://doi.org/10.1097/01.prs.0000244925.80290.57
Chen SY, Fu JP, Chen TM, Chen SG. Reconstruction of scrotal and perineal defects in Fournier’s gangrene. Journal of Plastic, Reconstructive and Aesthetic Surgery. 2011 Apr;64(4):528–34. DOI: https://doi.org/10.1016/j.bjps.2010.07.018
Morey AF, Meng M v, Mcaninch JW. SKIN GRAFT RECONSTRUCTION OF CHRONIC GENITAL LYMPHEDEMA.
Morris SF. Invited discussion: Pedicled deep inferior epigastric perforator flap: An alternative method to repair groin and scrotal defects. Vol. 57, Annals of Plastic Surgery. 2006. p. 685–6. DOI: https://doi.org/10.1097/01.sap.0000239822.42841.fb
MacFarlane DF. Current Techniques in Skin Grafting. Advances in Dermatology. 2006 Jan;22:125–38. DOI: https://doi.org/10.1016/j.yadr.2006.07.002
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Arquivos Catarinenses de Medicina
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
