[Surgical repair in the sequela of Fournier's syndrome]

Fournier's syndrome or necrotizing fasceitis of the abdominal-perineal region is a severe acute problem which may lead to a systemic impairment and eventually to death. Skin losses of the scrotum and penis can also be very incapacitating and difficult to repair. At the Hospital das Clínicas da FMUSP the Division of Surgery of Trauma has been able to reduce significantly the mortality rate of this syndrome. Cases with tissue losses were referred to the Division of Plastic Surgery for reconstruction. Several techniques were used in the period 1983-1986 but, in special, the reconstruction of the scrotum has been done using fascio-cutaneous flap the medial aspect of the thigh. Of the twenty nine patients reviewed the majority achieved social and professional rehabilitation.