Journal of Emergencies, Trauma, and Shock
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CASE REPORT
Year : 2018  |  Volume : 11  |  Issue : 1  |  Page : 57-59

Scrotal Reconstruction with Integra Following Necrotizing Fasciitis


1 Department of Surgery, Division of Plastic Surgery, New York-Presbyterian Hospital/Weill Cornell Medicine, New York, USA
2 Department of Surgery, Harlem Hospital Center, Columbia University, New York, USA
3 Department of Surgery, Division of Plastic Surgery, Harlem Hospital Center, Columbia University, New York, USA

Correspondence Address:
Dr. Ryan Engdahl
Department of Surgery, Division of Plastic Surgery, Harlem Hospital Center, Columbia University, 506 Lenox Avenue, New York 10026
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JETS.JETS_62_17

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Scrotal loss from Fournier's gangrene can be a devastating injury with esthetic and functional consequences. Local reconstructive options can be limited by the presence of infection or the loss of neighboring tissue from debridement. IntegraTM bilayer matrix wound dressing is a well-established reconstructive modality, but only one report exists of its use in scrotal reconstruction and this was not in the setting of Fournier's gangrene. We report the successful use of Integra and a subsequent split-thickness skin graft for reconstruction of the anterior scrotum and coverage of the exposed testes in a 43-year-old man who developed Group A Streptococcus necrotizing fasciitis of his right lower extremity, groin, and scrotum requiring serial operative debridements. Stable testicular coverage was achieved with closely matched skin and minimal donor-site morbidity. Further study and a larger sample size will be necessary to better understand the advantages and disadvantages of scrotal reconstruction with Integra.


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