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Published on: June 13, 2025
[Scrotal reconstruction by inguinal flap after Fournier's gangrene]
Claudio Cannistra1, Frédérique Kirsch-Noir, Vincent Delmas
1Unité de Chirurgie plastique-Service de Chirurgie, Hôpital Bichat, Paris, France. c.cannistra@abramo.it
Objectives:
The authors propose the use of a pedicle inguinal flap for reconstruction of the scrotal region after wide tissue resection following gangrene of the perineum.
Material And Methods:
Between 1998 and 2002, the authors treated 14 patients by surgical debridement following Fournier's perineo-perianal cellulitis. The authors used a pedicle inguinal flap in two patients with complete resection of the scrotal sac.
Results:
Clinical examination at 3 years showed a good functional and aesthetic result. The trophicity and sensitivity of the neo-scrotum and testes were normal.
Conclusions:
The inguinal flap proposed by that authors allows cover of the scrotal region with relatively thick, sensitive tissue with limited scarring and functional sequelae.
