Medial Femoral Circumflex Artery Perforator Based Fasciocutaneous Flap Aided in Healing of Scrotal Defect due to Fournier Gangrene

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Perineal necrotizing fasciitis was first described in 1883. It has high risk of morbidity and mortality. This lethal disease, also called Fournier’s gangrene (FG), is a rare, infectious necrotizing fasciitis of external genitalia, perineal or perianal regions, with or without involvement of the underlying muscle. The disease has a higher incidence in males and skin loss in the scrotal and perineal region is very common. Treatment is predominantly surgical, including extensive and early drainage and debridement, considering negative-pressure wound therapy (NPWT) for helping to heal the wounds and broad-spectrum intravenous antibiotics therapy. Some reports have described the use of NPWT combined with split thickness skin graft in the defect area. While, other recent reports suggest that local flap coverage rather than skin graft for reconstruction of perineal area. Perineal or scrotal reconstruction should consider the esthetic and physiological characteristics, as much as possible. The ideal Archives of Hand and Microsurgery