Perineal reconstruction after Fournier's syndrome: three-year experience at the Hospital do Servidor Público Municipal (São Paulo city)
Keywords:Fournier gangrene, Necrotizing fasciitis, Surgical flaps
Fournier's syndrome is a multi bacterial infectious disease with an insidious onset and rapid progression in the perineal region. Its treatment includes debridement and broad-spectrum antibiotic therapy. Debridement results in loss of skin coverage in the perineal region. There are several possible techniques for reconstruction of the open area, such as skin grafts, myofasciocutaneous and fasciocutaneous flaps, in addition to primary closure of the lesion.
The study analyzed six patients who underwent coverage of the open areas with reconstructive procedures, which ranged from the approximation of the edges with simple suture to the use of flaps and grafts in larger lesions. Cutaneous repair techniques presented good evolution with resolution of the raw area, obtaining satisfactory results.
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