Tomar Suryapratap Singh
Department of Surgery, Datta Meghe Institute of Medical Sciences University, Wardha, Maharastra, India.
Indian J Surg. 2010 Jul;72(Suppl 1):339-40. doi: 10.1007/s12262-010-0078-4. Epub 2010 Oct 20.
A 34-year-old man with complaining of high fever and painful swelling and edema of the scrotum was admitted to our hospital. As per clinical and radiological findings, he diagnosed as a case of Fournier's gangrene. We started treatment with antibiotics, and extensive soft tissue debridement of scrotum done. After the debridement, infection was controlled by wound irrigation, higher antibiotic, regular dressing. Patient improved drastically and mature granulation covered both the testes completely within 14 days. After all this treatment, the neoscrotum was made successfully by mobilizing bilateral fascio-cutaneous flaps from adjacent supero-medial sites of the thighs. The patient was discharged on 26th day and patient is doing well in follow up.
一名34岁男性因高热、阴囊肿痛及水肿入院。根据临床和影像学检查结果，他被诊断为福尼尔坏疽。我们开始使用抗生素治疗，并对阴囊进行了广泛的软组织清创。清创后，通过伤口冲洗、加强抗生素治疗及定期换药控制感染。患者病情大幅改善，14天内成熟的肉芽完全覆盖了双侧睾丸。经过所有这些治疗后，通过从大腿相邻的上内侧部位动员双侧筋膜皮瓣成功制作了新阴囊。患者于第26天出院，随访情况良好。
