Study finds better surgical approach for Scrotal reconstruct
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Fournier's gangrene (FG) is a rarely encountered necrotizing fasciitis principally affecting the skin and subcutaneous tissues of the genital region, perineum, and abdominal wall. The overall incidence of FG is 1.6 cases per 100 000 per year; the incidence in males is higher. A recent study suggests that the Limberg flap technique is a better approach for scrotal reconstruction following FG.

This study evaluated whether the Limberg flap can be used reliably in scrotal defects with fewer complications than are seen with traditional techniques. The results of unilateral or bilateral Limberg flaps for scrotal reconstruction after FG were assessed. The study was published in the journal Wounds.

This study analyzed records from 29 male patients with scrotal defects after multiple debridements. Twenty-one patients with hemiscrotal defects and 8 patients with defects involving greater than 50% of the scrotal surface were included in this study. Demographic data that were analyzed included smoking history, comorbid conditions, time of surgery, and time of follow-up. Flap dimensions were measured. Patients were evaluated in terms of flap viability and postoperative complications.

Results were;
-- Dehiscence with seroma was detected in 4 patients on postoperative days 4 and 5. The average size of the flaps was 11 cm × 15 cm.

--Seroma and dehiscence were encountered in 4 patients during postoperative follow-ups. No postoperative infection was observed in any patient, and no partial or total flap loss was reported.

These results suggest that the use of the Limberg flap technique for scrotal reconstruction following FG has the important benefits of being easily harvested while providing tension-free repair and acceptable cosmetic results.