Unusual occurrence of inguinal hernia in raw area postdebrid
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Fournier gangrene (FG) is an idiopathic spreading necrosis of the scrotum surrounding perineum which may even spread to anterior abdominal wall. The development and fast progression of gangrene can rapidly cause multiple organ failure and death. Because of potential complications, it is important to diagnose the disease process as early as possible.
Here, we would like to describe the case, we encountered in our ward (Civil Hospital, Ahmedabad), which developed hernia post debridement for FG. It presented as swelling in the raw area. The diagnosis was confirmed by investigations and managed with herniorrhaphy as the wound was contaminated. A daily dressing was continued for the raw area. The raw area developed healthy granulation tissue and there were no complications related to hernia surgery during the postoperative course. A patient then underwent testis reposition in the thigh pouch as well as coverage of raw area with split thickness graft. The uptake was healthy, and a patient was discharged without any complication...

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