{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T23:26:24Z","timestamp":1761175584165,"version":"build-2065373602"},"reference-count":13,"publisher":"Danish Medical Association","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ugeskr L\u00e6ger"],"abstract":"<jats:p>Fournier's gangrene is a severe necrotizing soft tissue infection requiring urgent debridement and broad-spectrum antibiotics with large defects posing cosmetic and functional challenges. This review presents considerations and possibilities for reconstruction of the scrotum after heavy debridement, mainly focusing on split-thickness skin grafts and local flap techniques. While flaps provide superior cosmetic and protective outcomes, grafts are simpler and more cost-effective. Both approaches have limitations. Therefore, it is important to choose patient-specific reconstruction methods.<\/jats:p>","DOI":"10.61409\/v01250034","type":"journal-article","created":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T11:58:05Z","timestamp":1755518285000},"page":"1-7","source":"Crossref","is-referenced-by-count":0,"title":["Scrotum reconstruction following Fournier's gangrene"],"prefix":"10.61409","author":[{"given":"Mette","family":"Stern","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina","family":"Asdahl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emir","family":"Hasanbegovic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"40208","published-online":{"date-parts":[[2025,8,18]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Chen SY, Fu JP, Wang CH, Lee TP, Chen SG. Fournier gangrene: a review of 41 patients and strategies for reconstruction. Ann Plast Surg. 2010;64(6):765-769. https:\/\/doi.org\/10.1097\/SAP.0b013e3181ba5485","DOI":"10.1097\/SAP.0b013e3181ba5485"},{"key":"ref1","unstructured":"Fedder AM, Hvas AM, Wang M, Petersen KK, Ebdrup L, Christensen P, et al. Nekrotiserende fasciitis. Ugeskr L\u00e6ger. 2022;184:V11210825. https:\/\/ugeskriftet.dk\/videnskab\/nekrotiserende-fasciitis-0"},{"key":"ref2","unstructured":"Bentin JM, Rudlang TM, R\u00f8der A. Fourniers gangr\u00e6n hos ung mand efter orkiektomi. Ugeskr L\u00e6ger. 2023;185:V12220778. https:\/\/ugeskriftet.dk\/videnskab\/fourniers-gangraen-hos-ung-mand-efter-orkiektomi"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Lewis GD, Majeed M, Olang CA, Patel A, Gorantla VR, Davis N, et al. Fournier's gangrene diagnosis and treatment: a systematic review. Cureus. 2021;13(10):e18948. https:\/\/doi.org\/10.7759\/cureus.18948","DOI":"10.7759\/cureus.18948"},{"key":"ref4","unstructured":"Schefte DF, Polzik PV. Nekrotiserende bl\u00f8ddelsinfektioner. Ugeskr Laeg. 2021;183:V05200360. https:\/\/ugeskriftet.dk\/videnskab\/nekrotiserende-bloddelsinfektioner"},{"key":"ref5","unstructured":"McGregor IA, McGregor AD. Fundamental Techniques of Plastic Surgery. Churchill Livingstone, 1995"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Magui\u00f1a P, Palmieri TL, Greenhalgh DG. Split thickness skin grafting for recreation of the scrotum following Fournier's gangrene. Burns. 2003;29(8):857-862. https:\/\/doi.org\/10.1016\/j.burns.2003.07.001","DOI":"10.1016\/j.burns.2003.07.001"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Ellabban MG, Townsend PL. Single-stage muscle flap reconstruction of major scrotal defects: report of two cases. Br J Plast Surg. 2003;56(5):489-493. https:\/\/doi.org\/10.1016\/S0007-1226(03)00178-4","DOI":"10.1016\/S0007-1226(03)00178-4"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Abaci M, Baran \u00d6. Reconstruction of scrotal skin defects using bilobed pudendal flap. J Cutan Aesthetic Surg. 2022;15(4):400. https:\/\/doi.org\/10.4103\/JCAS.JCAS_233_20","DOI":"10.4103\/JCAS.JCAS_233_20"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"\u00dcnverdi \u00d6F, Kemalo\u011flu CA. A reliable technique in the reconstruction of large penoscrotal defect: internal pudendal artery perforator flap. Urology. 2019;128:102-106. https:\/\/doi.org\/10.1016\/j.urology.2019.02.028","DOI":"10.1016\/j.urology.2019.02.028"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Kashiyama K, Nakano M, Higashi A, et al. Reconstruction of a scrotum by combining two skin flaps in a ball shape. Case Rep Urol. 2022;2022:2808821. https:\/\/doi.org\/10.1155\/2022\/2808821","DOI":"10.1155\/2022\/2808821"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Sandeep B, Khanna A, Taylor D. Pedicled superficial circumflex iliac artery perforator (SCIP) flap for perineo\u2010scrotal reconstruction following Fournier's gangrene. ANZ J Surg. 2023;93(1-2):276-280. https:\/\/doi.org\/10.1111\/ans.18066","DOI":"10.1111\/ans.18066"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Wang D, Zheng H, Deng F. Spermatogenesis after scrotal reconstruction. Br J Plast Surg. 2003;56(5):484-488. https:\/\/doi.org\/10.1016\/S0007-1226(03)00187-5","DOI":"10.1016\/S0007-1226(03)00187-5"}],"container-title":["Ugeskrift for L\u00e6ger"],"original-title":[],"deposited":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T08:46:51Z","timestamp":1761122811000},"score":1,"resource":{"primary":{"URL":"https:\/\/ugeskriftet.dk\/videnskab\/V01250034"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,18]]},"references-count":13,"URL":"https:\/\/doi.org\/10.61409\/v01250034","relation":{},"ISSN":["0041-5782","1603-6824"],"issn-type":[{"type":"print","value":"0041-5782"},{"type":"electronic","value":"1603-6824"}],"subject":[],"published":{"date-parts":[[2025,8,18]]}}}