Related Experiment Video
Updated: Jun 24, 2025
A Reliable Porcine Fascio-Cutaneous Flap Model for Vascularized Composite Allografts Bioengineering Studies
Published on: March 31, 2022
Scrotal reconstruction after Fournier's Gangrene using the superficial circumflex iliac artery perforator (SCIP)
G Henry1, L Brochet2, M Serbu3
1Plastic, Reconstructive, and Aesthetic Surgery Department, Croix-Rousse Hospital, Hospices Civils de Lyon, 103, Grande Rue de la Croix-Rousse, 69004 Lyon, France; Faculty of Medicine Lyon Est, Claude Bernard University Lyon 1, 8, Avenue Rockefeller, 69003 Lyon, France.
Introduction:
Fournier's gangrene, a rare infectious condition affecting the external genitalia, often requires aggressive medical-surgical interventions, resulting in variable scrotal tissue loss. Despite numerous proposed reconstruction techniques, achieving a consensus on the most effective approach that balances aesthetics and function remains elusive. This case report presents a one-year follow-up on scrotal reconstruction using a pedicled Superficial Circumflex Iliac Artery Perforator (SCIP) propeller flap.
Case Report:
A 56-year-old patient with significant scrotal tissue loss due to Fournier's gangrene underwent scrotal reconstruction using a pedicled SCIP propeller flap. Optimal placement was ensured through a subcutaneous tunnel, with a thin thigh skin graft applied to cover the penile skin defect.
Discussion:
The SCIP flap is distinguished by its thin and pliable characteristics, rapid harvesting and featuring a discreet donor site. It stands as a compelling alternative to skin grafts, providing advantages in sensory restoration, color congruence, and resilience against tension. Considering the thickness of the reconstruction helps both in recovering testicular function and improving the appearance by restoring the natural contour.
Conclusion:
The utilization of the pedicled SCIP propeller flap for scrotal tissue loss resulting from Fournier's gangrene has demonstrated both aesthetic and functional success, underscoring its potential as an effective reconstructive option.
