AlShehri Yasir Ali, AlBurshaid Hiba, AlBassam Layan, AlMutairi Khalid
Department of Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Department of Plastic Surgery and Burn Unit, King Fahad Military Medical Complex, Dammam, Saudi Arabia.
GMS Interdiscip Plast Reconstr Surg DGPW. 2019 Feb 4;8:Doc02. doi: 10.3205/iprs000128. eCollection 2019.
To share our experience with the management of Fournier gangrene (FG) using the bagging technique of the testes, and to highlight the importance of implementing a multidisciplinary approach in managing FG. A 58-year-old male with type 2 diabetes mellitus (DM) was brought to the emergency department (ED) with necrotizing fasciitis involving the genitalia; he was managed in the ED with Intravenous (IV) fluid resuscitation and IV antibiotics. The surgical team was consulted and multiple debridement procedures were done. Healthy granulation 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 was achieved with complete preservation of functional outcome. FG is a type of necrotizing fasciitis that could be managed either conservatively with IV antibiotics and/or hyperbaric oxygen, or surgically by debridement and applying VAC. In our case, the testes were debrided and bagging technique of the testes was used. It's believed that with this technique, the overall cosmetic and functional results are superior.
分享我们采用睾丸袋装技术治疗福尼尔坏疽（FG）的经验，并强调在FG管理中实施多学科方法的重要性。一名58岁的2型糖尿病男性因累及生殖器的坏死性筋膜炎被送至急诊科（ED）；他在ED接受了静脉补液复苏和静脉抗生素治疗。咨询了外科团队并进行了多次清创手术。在连续清创术后一个月内形成了健康的肉芽组织。采用睾丸袋装技术和负压封闭引流（VAC）进行了分层皮片移植。患者在就诊一年后接受复查，外观接近正常，功能结果完全保留。FG是一种坏死性筋膜炎，可通过静脉抗生素和/或高压氧保守治疗，或通过清创和应用VAC手术治疗。在我们的病例中，对睾丸进行了清创并采用了睾丸袋装技术。据信，采用这种技术，整体美容和功能效果更佳。
