A Retrospective Case Series in Fournier's Disease: And Its Emergency Management et Grafting Technique for Penis Coverage.


Journal

Emergency medicine international
ISSN: 2090-2840
Titre abrégé: Emerg Med Int
Pays: Egypt
ID NLM: 101567070

Informations de publication

Date de publication:
2022
Historique:
received: 09 06 2022
revised: 05 09 2022
accepted: 07 09 2022
entrez: 6 10 2022
pubmed: 7 10 2022
medline: 7 10 2022
Statut: epublish

Résumé

Fournier's gangrene is a necrotizing soft tissue infection of the genital, perineal, and perirectal areas. A primary isolated involvement of the penis is rare, but it can be affected in some circumstances. The purpose of this case series is to present the findings of our thirteen years' experience in the reconstruction of the penis in Fournier's gangrene and our full-thickness grafting technique to cover the penis rod. We retrospectively reviewed patient data who underwent a penis reconstruction following Fournier's gangrene in 2018. The data was analyzed to report the estimated percentage of complications, of patients with primary or secondary gangrene of the penis, the number of reinterventions, and finally the percentage of deaths or recovery. 23 patients underwent reconstruction with our technique of full-thickness skin graft. In all cases, the skin graft was harvested from the upper arm with an arrow shape mark. No further penile revision surgery was required, and neither patient complained about retraction, nor traction, or pain during erection. The donor site healed without any complications. We believe that the coverage of the penis using our grafting technique is safe, easily reproducible, and demonstrates excellent esthetic and functional results.

Identifiants

pubmed: 36200075
doi: 10.1155/2022/6710777
pmc: PMC9527405
doi:

Types de publication

Journal Article

Langues

eng

Pagination

6710777

Informations de copyright

Copyright © 2022 Domenico Tripodi et al.

Déclaration de conflit d'intérêts

The authors declare that they have no conflicts of interest.

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Auteurs

Domenico Tripodi (D)

Department of Surgical Sciences, "Sapienza" University of Rome, Rome 00161, Italy.
Plastic and Reconstructive Surgery Unit, Centre Hospitalier Universitaire Bichat Claude-Bernard, Paris, France.

Antonio Guastafierro (A)

Multidisciplinary Department of Medical-Surgical and Dental Specialties, University "Luigi Vanvitelli" Naples, Naples, Italy.

Federica Gagliardi (F)

Department of Surgery and Biomedical Sciences, University of Perugia, Perugia, Italy.

Maria Ida Amabile (MI)

Department of Surgery and Biomedical Sciences, University of Perugia, Perugia, Italy.

Eleonora Lori (E)

Department of Surgery and Biomedical Sciences, University of Perugia, Perugia, Italy.

Roberto Cirocchi (R)

Department of Urology, M.G. Vannini Hospital, Rome, Italy.

Daniele Pironi (D)

Department of Surgery and Biomedical Sciences, University of Perugia, Perugia, Italy.

Flavio Forte (F)

Plastic and Reconstructive Surgery Unit, Centre Hospitalier Universitaire Bichat Claude-Bernard, Paris, France.

Claudio Cannistra (C)

Plastic and Reconstructive Surgery Unit, Centre Hospitalier Universitaire Bichat Claude-Bernard, Paris, France.

Salvatore Sorrenti (S)

Department of Surgery and Biomedical Sciences, University of Perugia, Perugia, Italy.

Classifications MeSH