Pulsus
Pulsus health tech
44 2033180199
All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.
Awards Nomination
25+ Million Readerbase
Surgery: Case Report
Flyer image
25+ Million Website Visitors
Surgery: Case Report

Sign up for email alert when new content gets added: Sign up

Management of Fournier’s gangrene using skin graft by bagging techniques of testes: A case report.

Hiba Al-Burshaid*, Yasir AlShehri, Layan AlBassam and Khalid AlMutairi
 
1 Department of Plastic Surgery and Burn Unit, King Fahad military medical complex, Saudi Arabia, Email: dr_hiba@hotmail.com
 
*Correspondence: Hiba Al-Burshaid, Department of Plastic Surgery and Burn Unit, King Fahad military medical complex, Saudi Arabia, Tel: +0592938800, Email: dr_hiba@hotmail.com

Citation: AlBurshaid H, AlShehri Y, AlBassam L, et al. Management of Fournier’s gangrene using skin graft by bagging techniques of testes: A case report. Surg Case Rep. 2018;2(2):30-31.

This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC) (http://creativecommons.org/licenses/by-nc/4.0/), which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes. For commercial reuse, contact reprints@pulsus.com

Abstract

AIM: To share our experience with the management of Fourniergangrene using the bagging technique of the testes. and to highlight theimportance of implementing a multidisciplinary approach in managing FG. CASE REPRESENTATION: A 58-year-old male with type 2 diabetesmellitus (DM) was brought to the emergency department (ED) with necrotizing fasciitis involving the genitalia; he was managed in the ED withIntravenous (IV) fluid resuscitation and IV antibiotics. The surgical team wasconsulted and multiple debridement procedures were done. Healthygranulation tissue was formed within one month of the serial debridement.A split-thickness skin graft using bagging technique of the testes and vacuum-assisted closure (VAC) were applied. The patient was reassessed one year following presentation, and a result with a near normal appearance wasachieved with complete preservation of functional outcome. CONCLUSION: FG is a type of necrotizing fasciitis that could bemanaged either conservatively with IV antibiotics and/or hyperbaricoxygen, or surgically by debridement and applying VAC. In our case, the testes were debrided and bagging technique of the testes was used. It’sbelieved that with this technique, the overall cosmetic and functional results are superior.