Fournier Gangrenine Bağlı Skrotal Defektlerin Skorlama İnsizyonuyla Rahatlatılarak Skrotal Fleplerle Kapatılması: Tanımlayıcı Araştırma

Abstract

Objective: Fournier's gangrene is an insidious disease that occurs in the scrotal, perianal, and genital regions where aerobic and anaerobic bacteria form micro thromboses, causing tissue necrosis and extending to the fascia and spreading to the trunk and extremities. This disease, which is more common in male patients, patients with diabetes mellitus, immunocompromised patients, and those undergoing surgical procedures has high morbidity and mortality. We present the scoring incision of scrotal flaps that we apply in our clinic and the approximation suture technique with appropriate tension. Material and Methods: A study was conducted between January 2016 and July 2021; patients whose primary surgical debridement procedures were terminated after Fournier's gangrene were hospitalized in our clinic to close their defects. The study examined data such as mean age, defect size and localization, accompanying diseases, reproducing microorganisms, duration of surgery, duration of hospitalization, the healing time of wounds, and complications. Results: The mean age of the patients was 61.1 years, and the most common comorbidities were diabetes mellitus and respiratory tract disease. Beta-hemolytic streptococci were the most prolific microorganism. The defects were closed in 4-7 weeks in all patients. Conclusion: In scrotum defects that occur after Fournier's gangrene, the approximating suture technique performed at appropriate tension after the release of the contractures of scrotal flaps with scoring incision provides good stretching of the scrotal flaps and closure of the wounds at appropriate times.