Abstract
Fournier's gangrene (FG) is an acute necrotizing fasciitis that involves the skin and subcutaneous tissue on the scrotum, perineum, and abdominal wall [1]. It is a potentially fatal disease, with a reported mortality rate between 3% and 67% [2]. Broad-spectrum antibiotics, aggressive fluid therapy, and early surgical debridement are essential for the management of FG [3]. After primary treatment, FG may produce tissue defects of various sizes that need reconstructive procedures. We experienced a case of extensive defects involving the bilateral groin, pubic area, and scrotum after FG, for which we performed single-stage reconstruction using bilateral pedicled anterolateral thigh (ALT) flaps and gracilis myocutaneous flaps.
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