Reconstruction of scrotal and perineal defects in Fournier’s gangrene

2 octyl-cyanoacrylate glue for Fixation of STSG in genitourinary tissue defects due to Fournier gangrene: A Preliminary Trial

“…These may intensify their operative risk, predominantly for longer or multiple procedures. [1][2][3] The ideal method of coverage should be technically easy to accomplish and of lower cost. There are few reports in the medical literature in which tissue adhesives are used for skin graft fixation.…”

“…The resultant tissue defects often need complex reconstruction including flaps or grafts. [1][2][3] The aim of the reconstructive procedures after the initial debridement is to attain good coverage of the defects and suitable cosmetic results. Cyanoacrylate tissue glue is an organic polymer that can close simple lacerations in humans and animals efficiently, and acts in a bacteriostatic fashion against Gram-positive microorganisms.…”

Reconstruction of soft tissue defects in Fournier's gangrene at a tertiary care centre

“…12 The scrotal advancement flap follows the principle of "replace like with like". 3,7 It is based on the stretchable characteristics of scrotal skin which allow extensive scrotal wounds to be reconstructed by thorough undermining and advancement. As little as one-third of residual scrotum can be stretched to resurface the entire scrotum.…”

“…13 Excessive undermining and suturing under tension, however, may lead to flap loss or wound edge necrosis. 3 This flap is technically easy with less donor site morbidity and other complications. 6,14,15 We were able to manage 7 patients with medium sized wounds with scrotal advancement flaps and encountered partial flap loss in one case which required STSG later.…”

“…2 The commonest predisposing factor is diabetes mellitus although 25% of the cases still remain idiopathic. 3 The urogenital and colorectal diseases are the most common sources of infection. Men are most commonly involved though some authors have reported female involvement also.…”