{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T13:16:01Z","timestamp":1761311761789,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,3,27]]},"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:p>The patient is a 45-year-old man diagnosed with Fournier\u2019s gangrene and underwent treatment for septic shock, broad-spectrum antibiotic therapy and extensive surgical debridement of perineum, including total scrotectomy, ischiorectal fossa, abdomen and left superior thigh and flank. The patient required multiple staged complex reconstruction of the scrotum utilising prelaminated superior medial thigh flaps with use of dermal matrix, split-thickness skin grafting and pedicled gracilis muscle flap for coverage of the ischiorectal wound. The patient had full recovery and followed up 1\u2009year postoperatively. This report discusses our technique for total scrotal reconstruction and provides review of surgical reconstructive techniques for wounds due to Fournier\u2019s gangrene.<\/jats:p>","DOI":"10.1136\/bcr-2020-240618","type":"journal-article","created":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T13:23:39Z","timestamp":1618493019000},"page":"e240618","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Total scrotal reconstruction following Fournier\u2019s gangrene with bilateral prelaminated superior medial thigh flaps"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0792-5893","authenticated-orcid":false,"given":"Justin","family":"Hart","sequence":"first","affiliation":[{"name":"Plastic Surgery, Beaumont Hospital - Farmington Hills, Farmington Hills, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"DeSano","sequence":"additional","affiliation":[{"name":"Plastic Surgery, Beaumont Hospital - Farmington Hills, Farmington Hills, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond","family":"Hajjar","sequence":"additional","affiliation":[{"name":"Plastic Surgery, Beaumont Hospital - Farmington Hills, Farmington Hills, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Lumley","sequence":"additional","affiliation":[{"name":"Plastic Surgery, Beaumont Hospital - Farmington Hills, Farmington Hills, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,4,15]]},"reference":[{"key":"2025082710384700000_14.4.e240618.1","article-title":"Reconstruction of defects after Fournier gangrene: a systematic review","volume":"15","author":"Karian","year":"2015","journal-title":"Eplasty"},{"key":"2025082710384700000_14.4.e240618.2","doi-asserted-by":"crossref","DOI":"10.1590\/0100-6991e-20181389","article-title":"Scrotal reconstruction with superomedial fasciocutaneous thigh flap","volume":"45","author":"Mello","year":"2018","journal-title":"Rev Col Bras Cir"},{"key":"2025082710384700000_14.4.e240618.3","doi-asserted-by":"crossref","first-page":"1052","DOI":"10.1111\/ans.12782","article-title":"Reconstruction of perineoscrotal defects in Fournier's gangrene with pedicle anterolateral thigh perforator flap","volume":"86","author":"Lin","year":"2016","journal-title":"ANZ J Surg"},{"key":"2025082710384700000_14.4.e240618.4","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1016\/j.bjps.2015.10.039","article-title":"Scrotal reconstruction with modified pudendal thigh flaps","volume":"69","author":"Mopuri","year":"2016","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"2025082710384700000_14.4.e240618.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.01.034"},{"key":"2025082710384700000_14.4.e240618.6","doi-asserted-by":"publisher","DOI":"10.4081\/aiua.2016.3.157"},{"key":"2025082710384700000_14.4.e240618.7","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/SAP.0000000000000066","article-title":"A technique for improving cosmesis after primary scrotum reconstruction with skin grafts","volume":"75","author":"Konofaos","year":"2015","journal-title":"Ann Plast Surg"},{"key":"2025082710384700000_14.4.e240618.8","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1097\/SAP.0b013e3182a884c8","article-title":"The combined pedicled anterolateral thigh and vastus lateralis flap as filler for complex perineal defects","volume":"75","author":"di Summa","year":"2015","journal-title":"Ann Plast Surg"},{"key":"2025082710384700000_14.4.e240618.9","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181bcf094"},{"key":"2025082710384700000_14.4.e240618.10","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000000426","article-title":"Negative pressure wound therapy applied before and after split-thickness skin graft helps healing of Fournier gangrene: a case report (CARE-Compliant)","volume":"94","author":"Ye","year":"2015","journal-title":"Medicine"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-240618","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:38:54Z","timestamp":1756316334000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-240618"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":10,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021,4,15]]},"published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1136\/bcr-2020-240618"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-240618","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,4]]}}}