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Fournier's Gangrene reconstruction in black patients using SCIP flap and split thickness skin graft: 2 case reports and a literature review. | LitMetric

Fournier's Gangrene reconstruction in black patients using SCIP flap and split thickness skin graft: 2 case reports and a literature review.

Ann Chir Plast Esthet

Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States; Division of Plastic and Reconstructive Surgery, Cedars Sinai Medical Center, Los Angeles, United States; Innovative Therapies in Hemostasis, INSERM UMR-S 1140, University of Paris, 75006 Paris, France. Electronic address:

Published: September 2024

AI Article Synopsis

  • Fournier's gangrene is a serious infection affecting the genital and perineal areas, often requiring extensive surgical and medical treatment, which can leave significant skin defects.
  • There is no clear agreement on the best methods for reconstructive surgery due to the variety of options available, and there is limited research focusing on male black patients.
  • The report discusses two cases of dark-skinned patients with genital defects, detailing their reconstruction using specific surgical techniques—a propeller flap and a skin graft—and reviews the existing literature on the subject.

Article Abstract

Fournier's gangrene is a potentially life-threatening infectious disease involving the perineum and genitals. Aggressive surgical and medical management is often required, leaving the patient with large integumentary defects. The multiplicity of reconstructive options reported highlights the lack of consensus on the best covering option. Functional and aesthetic considerations are in play, and the literature is scarce on male black patients. We report here two cases of dark-skinned patients presenting with scrotal and penile integumentary defects that were respectively reconstructed with a superficial circumflex iliac artery propeller perforator flap and a split-thickness meshed skin graft and discuss the available literature on the topic.

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Source
http://dx.doi.org/10.1016/j.anplas.2024.08.007DOI Listing

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