{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T02:57:22Z","timestamp":1789181842833,"version":"build-2803163510"},"reference-count":38,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Fournier\u2019s gangrene is a rare form of necrotizing fasciitis that affects the genital area up to the perineal region and sometimes the abdominal wall.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Our article aims to show that in the treatment of extensive forms of Fournier\u2019s gangrene, correct use of flap and skin grafts and a quick reconstruction of the exposed tissues avoid scarring retraction of the testicles and deformation of the penis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and methods<\/jats:title>\n                  <jats:p>We retrospectively reviewed the clinical and photographic data of Fournier\u2019s gangrene cases treated at our Institute. The data were evaluated to obtain an estimate of the results of the reconstructive technique used, in terms of percentage of occurred healings and eventual complications.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 34 patients underwent surgery for Fournier\u2019s gangrene. In nine cases (26.5%), we had minor complications: in four patients, suffering from diabetes and obesity, a retard in attachment of graft occurred, while in five patients with perianal problems there was a delay in healing due to the onset of local infection.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The reconstruction approach described here may reduce surgical times. In Fournier\u2019s gangrene, the exposed tissues must be reconstructed as quickly as possible.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/med-2021-0294","type":"journal-article","created":{"date-parts":[[2021,7,9]],"date-time":"2021-07-09T20:21:47Z","timestamp":1625862107000},"page":"1028-1037","source":"Crossref","is-referenced-by-count":6,"title":["Algorithm of rational approach to reconstruction in Fournier\u2019s disease"],"prefix":"10.1515","volume":"16","author":[{"given":"Domenico","family":"Tripodi","sequence":"first","affiliation":[{"name":"Department of Surgical Sciences, Sapienza University of Rome , Rome , CAP 00161 , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Ida","family":"Amabile","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Sapienza University of Rome , Rome , CAP 00161 , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Gagliardi","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Sapienza University of Rome , Rome , CAP 00161 , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Frusone","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Sapienza University of Rome , Rome , CAP 00161 , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marzia","family":"Varanese","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Sapienza University of Rome , Rome , CAP 00161 , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"De Luca","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Sapienza University of Rome , Rome , CAP 00161 , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"Pironi","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Sapienza University of Rome , Rome , CAP 00161 , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vito","family":"D\u2019 Andrea","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Sapienza University of Rome , Rome , CAP 00161 , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore","family":"Sorrenti","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Sapienza University of Rome , Rome , CAP 00161 , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Cannistr\u00e0","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Unit, Centre Hospitalier Universitaire Bichat Claude-Bernard , Paris , France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2021,7,9]]},"reference":[{"key":"2022091918195045270_j_med-2021-0294_ref_001","doi-asserted-by":"crossref","unstructured":"Short B. 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