Korean J Urogenit Tract Infect Inflamm.  2013 Oct;8(2):114-120. 10.14777/kjutii.2013.8.2.114.

Scrotal Reconstruction with Pedicled Anterolateral Thigh Perforator Flap in Fournier's Gangrene

• Oh HC
• Bae SH
• Lee JW
• Kim JH
• Nam SB

• KMID: 1502117
• DOI: http://doi.org/10.14777/kjutii.2013.8.2.114

Abstract

PURPOSE
We have many choices of surgical methods with scrotal reconstruction after Fournier's gangrene. From the aesthetic perspective, the reconstruction method with anterolateral thigh perforator pedicled flap is better than other options. We report our experience with postoperative results and aesthetics of the anterolateral thigh perforator pedicled flap.
MATERIALS AND METHODS
From November 2011 to May 2013, 4 patients underwent anterolateral thigh perforator pedicled flaps. The authors checked the aesthetic results and occurrence of complications at follow-up exams.
RESULTS
There was no total or partial necrosis of flap among the four patients. The only complication was wound dehiscence followed by infection that healed secondarily during the follow-up period.
CONCLUSIONS
Anterolateral thigh perforator pedicled flap is a very useful choice for surgery at the defect caused by Fournier's gangrene because it is relatively thin, offering an excellent aesthetic result.

Keyword

Fournier gangrene; Surgical flaps

MeSH Terms

Esthetics
Follow-Up Studies
Fournier Gangrene*
Humans
Methods
Necrosis
Perforator Flap*
Surgical Flaps
Thigh*
Wounds and Injuries