A simple technique to improve residual skin plasticity for scrotal reconstruction in Fournier’s Gangrene
di
V.D. Palumbo, G. Damiano, G. Spinelli, G. Tomasello, G. Cocchiara, S. De Luca, S. Randazzo, S. Ficarella, A. Bruno, A.I. Lo Monte
A 50 years-old man developed 24 hours after hemorroidectomy a
severe Fournier’s gangrene of the scrotum necessitating surgical exeresis
of more than 2/3 of scrotal skin followed by hyperbaric oxygen
therapy. After the resolution of the septic phase, scrotum reconstruction
was obtained by tissue expansion to avoid more invasive advanced
reconstructive techniques. The procedure consisted of an enzymatic
and mechanical debridement and progressive skin expansion by
package of gauzes of increasing volume covered with a collagenasecloramphenicol
ointment (Iruxol®- Smith and Nephew, Italy), then
closing the wound edges by temporary stitches to put under tension
the skin. The reestablishment of the natural elasticity of the scrotal
skin was obtained in ten days and at the final closure of the wound
edges an acceptable optimal aesthetic result was achieved. Clin Ter
2012; 163(5):e315-318
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