Perineal reconstruction after Fournier's syndrome: three-year experience at the Hospital do Servidor Público Municipal (São Paulo city)
DOI:
https://doi.org/10.37497/ijhmreview.v8i2.323Keywords:
Fournier gangrene, Necrotizing fasciitis, Surgical flapsAbstract
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.
References
ALVES, P.; ALVES, S. Reconstrução escrotal com retalho súpero-medial da coxa após síndrome de fournier. Rev. Bras. Cir, v. 28, n. 4, p. 656, 2013.
BALBINOT, P. et al. Síndrome de Fournier: reconstrução de bolsa testicular com retalho fasciocutâneo de região interna de coxa. Rev. bras. cir. plást, p. 329–334, 2015.
DORNELAS, M. T. et al. Síndrome de Fournier: 10 anos de avaliação. Revista Brasileira de Cirurgia Plástica, v. 27, p. 600–604, 2012.
FERREIRA, P. C. et al. Fournier’s gangrene: a review of 43 reconstructive cases. Plastic and Reconstructive Surgery, v. 119, n. 1, p. 175–184, jan. 2007.
JUNIOR, P. C. DE G.; SOUSA, A. V. DE. Revisão da literatura sobre colostomias e suas complicações no período de 2015 a 2021. International Journal of Health Management Review, v. 7, n. 3, 2021. https://doi.org/10.37497/ijhmreview.v7i3.289
LYONS, M. E.; GOLDMAN, J. J. Gracilis Tissue Transfer. Em: StatPearls. Treasure Island (FL): StatPearls Publishing, 2022.
MAURO, V. Retalho fasciocutâneo de região interna de coxa para reconstrução escrotal na síndrome de Fournier. Revista Brasileira de Cirurgia Plástica, v. 26, p. 707–709, 2011.
MCCRAW, J. B. et al. Vaginal reconstruction with gracilis myocutaneous flaps. Plastic and Reconstructive Surgery, v. 58, n. 2, p. 176–183, ago. 1976.
MEHL, A. A. et al. Manejo da gangrena de Fournier: experiência de um hospital universitário de Curitiba. Revista do Colégio Brasileiro de Cirurgiões, v. 37, p. 435–441, 2010.
MELLO, D. F.; HELENE, A. Reconstrução escrotal com retalho fasciocutâneo superomedial da coxa. Revista do Colégio Brasileiro de Cirurgiões, v. 45, 2018.
MOSCONA, A. R.; GOVRIN-YEHUDAIN, J.; HIRSHOWITZ, B. The island fasciocutaneous flap; a new type of flap for defects of the knee. British Journal of Plastic Surgery, v. 38, n. 4, p. 512–514, out. 1985.
NAJI, S. H. Reconstruction of scrotum in Fournier’s gangrene. Kufa Med J, v. 14, n. 2, p. 219–24, 2011.
ÖCÜK, Ö. et al. Effectiveness of Fasciocutaneous Superomedial Thigh Flap in Reconstruction of Fournier Gangrene Defects. Eplasty, v. 22, p. e26, 2022.
PARK, J. Perineal Reconstruction. Em: Grabb and Smith’s Plastic Surgery. 8th Edition ed. Philadelphia: Chung KC, 2020.
SHORT, B. Fournier gangrene: an historical reappraisal. Internal Medicine Journal, v. 48, n. 9, p. 1157–1160, set. 2018.
WHAIB, A. R. A. Evaluation of superomedial fasciocutaneous thigh flap in replacement of scrotal and penile skin. Iraqi Postgraduate Medical Journal, v. 10, n. 3, 2011.
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