{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T12:44:22Z","timestamp":1790858662327,"version":"4.1.0"},"reference-count":16,"publisher":"FapUNIFESP (SciELO)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"published-print":{"date-parts":[[2018,2,15]]},"abstract":"<jats:p>ABSTRACT  Objective: to describe the use of a superomedial fasciocutaneous thigh flap for scrotal reconstruction in open areas secondary to the surgical treatment of perineal necrotizing fasciitis (Fournier\u2019s gangrene).  Methods: retrospective analysis of cases treated at the Plastic Surgery Service of Santa Casa de Miseric\u00f3rdia, S\u00e3o Paulo, from 2009 to 2015.  Results: fifteen patients underwent scrotal reconstruction using the proposed flap. The mean age was 48.9 years (28 to 66). Skin loss estimates in the scrotal region ranged from 60 to 100%. Definitive reconstruction was performed on average 30.6 days (22 to 44) after the initial surgical treatment. The mean surgical time was 76 minutes (65 to 90) to obtain the flaps, bilateral in all cases. Flap size ranged from 10cm to 13cm in the longitudinal direction and 8cm to 10cm in the cross-sectional direction. The complication rate was 26.6% (four cases), related to the occurrence of segmental and partial dehiscence.  Conclusion: the superomedial fasciocutaneous flap of thigh is a reliable and versatile option for the reconstruction of open areas in the scrotal region, showing adequate esthetic and functional results.<\/jats:p>","DOI":"10.1590\/0100-6991e-20181389","type":"journal-article","created":{"date-parts":[[2018,2,20]],"date-time":"2018-02-20T13:16:38Z","timestamp":1519132598000},"source":"Crossref","is-referenced-by-count":12,"title":["Scrotal reconstruction with superomedial fasciocutaneous thigh flap"],"prefix":"10.1590","volume":"45","author":[{"given":"DANIEL FRANCISCO","family":"MELLO","sequence":"first","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"AMERICO","family":"HELENE J\u00daNIOR","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"issue":"6","key":"ref1","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1046\/j.1365-2168.2000.01497.x","article-title":"Fournier's gangrene a review of 1726 cases","volume":"87","author":"Eke N","year":"2000","journal-title":"Br J Surg"},{"issue":"2","key":"ref2","first-page":"329","article-title":"S\u00edndrome de Fournier reconstru\u00e7\u00e3o de bolsa testicular com retalho fasciocut\u00e2neo de regi\u00e3o interna de coxa","volume":"30","author":"Balbinot P","year":"2015","journal-title":"Rev Bras Cir Pl\u00e1st"},{"issue":"2","key":"ref3","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1590\/S0101-98802009000200006","article-title":"S\u00edndrome de Fournier an\u00e1lise dos fatores de mortalidade","volume":"29","author":"Candel\u00e1ria PAP","year":"2009","journal-title":"Rev Bras Coloproct"},{"issue":"2","key":"ref4","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 N","year":"2016","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"1","key":"ref5","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1097\/01.prs.0000244925.80290.57","article-title":"Fournier's Gangrene a review of 43 reconstructive cases","volume":"119","author":"Ferreira PC","year":"2007","journal-title":"Plast Reconst Surg"},{"issue":"7","key":"ref6","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1007\/s00238-013-0833-4","article-title":"Scrotal reconstruction a review and a proposed algorithm","volume":"36","author":"Khan Q","year":"2013","journal-title":"Eur J Plast Surg"},{"issue":"2","key":"ref7","first-page":"349","article-title":"Reconstru\u00e7\u00e3o do escroto ap\u00f3s fascite necrosante","volume":"25","author":"Franco D","year":"2010","journal-title":"Rev Bras Cir Plast"},{"issue":"7","key":"ref8","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1016\/j.bjps.2010.11.013","article-title":"Scrotal reconstruction by testicular apposition and wrap-around skin grafting","volume":"64","author":"Tan BK","year":"2011","journal-title":"J Plast Reconst Aesthet Surg"},{"issue":"4","key":"ref9","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1016\/j.bjps.2010.07.018","article-title":"Reconstruction of scrotal and perineal defects in Fournier's gangrene","volume":"64","author":"Chen SY","year":"2011","journal-title":"J Plast Reconst Aesthet Surg"},{"issue":"5","key":"ref10","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1016\/S0007-1226(03)00178-4","article-title":"Single-stage muscle flap reconstruction of major scrotal defects report of two cases","volume":"56","author":"Ellabban MG","year":"2003","journal-title":"Br J Plast Surg"},{"issue":"9","key":"ref11","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1016\/j.bjps.2006.09.005","article-title":"Unilateral gracilis myofasciocutaneous advancement flap for single stage reconstruction of scrotal and perineal defects","volume":"60","author":"Hsu H","year":"2007","journal-title":"J Plast Reconst Aesthet Surg"},{"issue":"1","key":"ref12","doi-asserted-by":"crossref","first-page":"28e","DOI":"10.1097\/PRS.0b013e3181c2a292","article-title":"Medial thigh fasciocutaneous flaps for reconstruction of the scrotum following Fournier gangrene","volume":"125","author":"Maguina P","year":"2010","journal-title":"Plast Reconst Surg"},{"issue":"8","key":"ref13","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1016\/j.burns.2003.07.001","article-title":"Split thickness skin grafting for recreation of the scrotum following Fournier's gangrene","volume":"29","author":"Maguina P","year":"2003","journal-title":"Burns"},{"issue":"2","key":"ref14","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1097\/00006534-200202000-00030","article-title":"Anterolateral thigh fasciocutaneous island flaps in perineoscrotal reconstruction","volume":"109","author":"Yu P","year":"2002","journal-title":"Plast Reconstr Surg"},{"issue":"4","key":"ref15","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1097\/00006534-198010000-00021","article-title":"One-stage reconstruction of the scrotum following Fournier's syndrome using a probable arterial flap","volume":"66","author":"Hirshowitz B","year":"1980","journal-title":"Plast Reconst Surg"},{"issue":"4","key":"ref16","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1590\/S1983-51752011000400030","article-title":"Retalho f\u00e1scio-cut\u00e2neo da regi\u00e3o interna de coxa para reconstru\u00e7\u00e3o escrotal na s\u00edndrome de Fournier - relato de caso","volume":"26","author":"Mauro V","year":"2011","journal-title":"Rev Bras Cir Plast"}],"container-title":["Revista do Col\u00e9gio Brasileiro de Cirurgi\u00f5es"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rcbc\/v45n1\/0100-6991-rcbc-45-01-e1389.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T10:00:06Z","timestamp":1519207206000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0100-69912018000100153&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,15]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,2,15]]}},"alternative-id":["S0100-69912018000100153"],"URL":"https:\/\/doi.org\/10.1590\/0100-6991e-20181389","relation":{},"ISSN":["1809-4546","0100-6991"],"issn-type":[{"value":"1809-4546","type":"electronic"},{"value":"0100-6991","type":"print"}],"subject":[],"published":{"date-parts":[[2018,2,15]]}}}