International Journal of Medical and Health Research

International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 6, Issue 3 (2020)

Medial thigh flap method of reconstruction of scrotal defect following Fournier’s gangrene


Dr. Raza Farooqui, Dr. Shivangi Middha

Introduction: Fournier’s gangrene is a necrotizing fasciitis of the male genital and perineum that can rapidly progressing and fatal if not treated promptly. Emergency debridement of necrotic tissue is done followed by dressings and IV antibiotics. Various techniques are available for further management like burial of testes in thigh pockets, flaps from thigh, split thickness skin grafts, local scrotal advancement flaps. Material and Method: Medial thigh flap is performed in 10 patients with Fournier’s gangrene from January 2018 to 31 December 2018. After extensive debridement of fournier’s gangrene all patients had soft tissue defect. Unilateral medial thigh flap coverage was done in all patients. All patients were followed for 6 months. Results: All patients had involvement of scrotum only. Age group was between 40-50 yrs. 9 cases had no complications post operatively and flaps survived well. One patient had suture dehiscence. In all cases donor site healed well with no complications. Conclusion: Medial thigh flap provides durable and protective cover for perineoscrotal defects. This flap offers single stage, stable and well vascularized soft tissue coverage. Advantages are reliable flap, no donor site morbidity, less time consuming, less bulky, well vascularized soft tissue.
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How to cite this article:
Dr. Raza Farooqui, Dr. Shivangi Middha. Medial thigh flap method of reconstruction of scrotal defect following Fournier’s gangrene. International Journal of Medical and Health Research, Volume 6, Issue 3, 2020, Pages 29-31
International Journal of Medical and Health Research