Department of Plastic Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Meidicine, Seoul, Republic of Korea.
Int Wound J. 2017 Dec;14(6):1378-1381. doi: 10.1111/iwj.12744. Epub 2017 Mar 29.
Fournier's gangrene in female patients has low incidence rate but high mortality rate compared with that in males, with many cases resulting in death at acute phase. This is due to the differences in male and female genital anatomy, which should be fully understood by physicians to increase the patient's survival rate. After crossing the acute phase of the disease by an appropriate treatment, it is important to reconstruct vaginal or vulvar defects according to the patient's three-dimensional anatomical structures. Perforator flap based on internal pudendal artery is one of the ideal reconstructive techniques to resolve the aforementioned issue. The authors intend to introduce the distinguishing characteristics of Fournier's gangrene in female patients, and the surgical techniques to reconstruct the defects after the acute phase of disease.
女性患者的 Fournier 坏疽发病率低于男性，但死亡率却高于男性，许多病例在急性期就导致死亡。这是由于男女外生殖器解剖结构的差异，医生应该充分了解这些差异，以提高患者的生存率。在通过适当的治疗度过疾病的急性期后，根据患者的三维解剖结构重建阴道或外阴缺损非常重要。基于阴部内动脉的穿支皮瓣是解决上述问题的理想重建技术之一。作者旨在介绍女性患者 Fournier 坏疽的特征，以及疾病急性期后修复缺陷的手术技术。
