Management of Fournier’s gangrene using skin graft by bagging techniques of testes: A case report.

Case Reports

Hiba Al-Burshaid, Yasir AlSheh


AIM: To share our experience with the management of Fourniergangrene using the bagging technique of the testes. and to highlight theimportance of implementing a multidisciplinary approach in managing FG. CASE REPRESENTATION: A 58-year-old male with type 2 diabetesmellitus (DM) was brought to the emergency department (ED) with necrotizing fasciitis involving the genitalia; he was managed in the ED withIntravenous (IV) fluid resuscitation and IV antibiotics. The surgical team wasconsulted and multiple debridement procedures were done. Healthygranulation 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 wasachieved with complete preservation of functional outcome. CONCLUSION: FG is a type of necrotizing fasciitis that could bemanaged either conservatively with IV antibiotics and/or hyperbaricoxygen, or surgically by debridement and applying VAC. In our case, the testes were debrided and bagging technique of the testes was used. It’sbelieved that with this technique, the overall cosmetic and functional results are superior.

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