Abstract
Fournier’s gangrene is an expansive and necrotic acute bacterial infection of soft tissue of the perineum, the scrotum, and the lower part of the trunk. Predisposing factors include diabetes mellitus, severe obesity, prolonged hospitalization, hematologic illnesses, LES, immunosuppression, drug use, alcoholism, poor personal hygiene, and malnutrition. Mortality is 20–50%. The authors describe the etiology, classification, symptoms, diagnosis, and treatment. Vacuum-assisted closure and the dermal regeneration template represent useful tools in reconstruction of the perineum following extensive debulking and can be considered as a valid alternative to immediate skin grafting to cover large defects, yielding excellent aesthetic and functional results.
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Agostini, T., Perello, R., Boffano, P. (2018). Combined Approach to Severe Fournier’s Gangrene with Negative Pressure Wound Therapy, Dermal Regeneration, and Split-Thickness Skin Graft. In: Shiffman, M., Low, M. (eds) Pressure Injury, Diabetes and Negative Pressure Wound Therapy. Recent Clinical Techniques, Results, and Research in Wounds, vol 3. Springer, Cham. https://doi.org/10.1007/15695_2018_119
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DOI: https://doi.org/10.1007/15695_2018_119
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