Abstract

Background: Fournier’s gangrene is a serious condition caused by a multibacterial infection, developing a necrotizing fascitis of the soft tissue of genital and perineal area, with a high mortality rate. An appropriate therapeutic approach includes antibiotics, surgical debridement and reconstructive surgery. With the aim to describe the results of plastic surgical procedures in patients suffering from Fournier’s disease, the present study was performed.
Methods: An observational, descriptive, cross-sectional and prospective study was carried out at the Plastic Department of Calixto García Hospital, La Habana, from January 2018 to January 2022. All patients referred from the Urology Department with the diagnosis of Fournier Gangrene in recovery phase, with a proper granulation tissue, normal Complete Blood Counts values and negative bacteriological culture were included. A characterization of the sample was performed according to demographics parameters, reconstructive surgical techniques and the incidence of complications.
Results: Of a total of 21 referred patients, 15 were included. Male were predominant (93,3%), skin grafting and local flaps the main surgeries performed, and the incidence of complications was unremarkable (13,3%). Diabetes Mellitus the main associated condition found (80 %).
Conclusion: Skin Grafting and local flaps were the main reconstructive techniques performed with a low incidence of complications. In spite of several reconstructive techniques described, the combination of them was the roule.

Keywords

Grafts, Necrosis, Reconstruction, Surgical Flaps