Penile reconstruction after Fournier's gangrene
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
The lethal necrotizing fasciitis, Fournier's Gangrene, is initially managed with resuscitation, broad-spectrum antibiotics, and aggressive surgical debridement. While the initial management steps are widely described, the subsequent management of skin loss is sparse. Our objective was to focus on the reconstruction of the penile shaft skin loss after wide surgical debridement. A single case was documented from presentation, to treatment, and to recovery. The primary focus was the reconstruction of the penile shaft skin. The combined planning and efforts of genitourinary and plastic surgery were used to reconstruct the penile shaft skin using a split thickness skin graft. The penis was tunneled into a viable skin flap of the suprapubic fat pad in response to the wide surgical debridement from the treatment of Fournier's Gangrene. The penis maintained its anatomic function during the healing process. A 12/1000-in. split thickness skin graft from the lateral thigh was chosen to replace the skin deficient. 13 months later, we were able to excise around the preputial collar, un-tunnel the penis and place the skin graft around the penile shaft. A vacuum dressing and foley catheter remained in place for 7 days during an uneventful post-operative course. Ultimately, we found split thickness skin graft successful in this penile reconstruction after Fournier's Gangrene. Complete penile shaft skin loss can be managed acutely with tunneling in the suprapubic fat pad, and can be reconstructed with a split thickness skin graft from the lateral thigh.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Penile reconstruction after Fournier's gangrene
- Date Crossref
- 01/03/2020
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Cornell University pays non établi dans la noticeUniversité ou école supérieure
-
State University of New York Department of Urology pays non établi dans la noticeUniversité ou école supérieure
-
SUNY Downstate Health Sciences University pays non établi dans la noticeÉtablissement de santé
-
Kings County Hospital Center Department of Urology pays non établi dans la noticeÉtablissement de santé
-
Coney Island Hospital Department of Urology pays non établi dans la noticeÉtablissement de santé
-
Weill Cornell Medical College Department of Urology pays non établi dans la noticeUniversité ou école supérieure
Cornell University, Department of Urology — State University of New York et SUNY Downstate Health Sciences University, avec 3 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.