Fibrin sealant for the reconstruction of Fournier's gangrene sequelae

Brian J. Decastro, Allen F. Morey

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Purpose: We describe the use of fibrin tissue adhesive as an adjunct for reconstructing genital skin loss due to Fournier's gangrene. Materials and Methods: We treated 2 patients with Fournier's gangrene with repeat surgical débridement and antibiotics. Delayed primary closure was enhanced by using liquid fibrin sealant. In 1 case the sealant was used to obliterate a large testicular thigh pouch that had become infected. In the other case it was used to anchor the under surface of a thigh flap for scrotal reconstruction. Results: In each patient the fibrin tissue adhesive prevented further complications of Fournier's disease. Conclusions: Fibrin sealant is an effective adjunct for managing extensive genital skin loss caused by Fournier's gangrene.

Original languageEnglish (US)
Pages (from-to)1774-1776
Number of pages3
JournalJournal of Urology
Volume167
Issue number4 I
StatePublished - 2002

Fingerprint

Fournier Gangrene
Fibrin Tissue Adhesive
Thigh
Skin
Anti-Bacterial Agents

Keywords

  • Debridement
  • Fibrin tissue adhesive
  • Fournier gangrene
  • Penis
  • Skin

ASJC Scopus subject areas

  • Urology

Cite this

Fibrin sealant for the reconstruction of Fournier's gangrene sequelae. / Decastro, Brian J.; Morey, Allen F.

In: Journal of Urology, Vol. 167, No. 4 I, 2002, p. 1774-1776.

Research output: Contribution to journalArticle

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abstract = "Purpose: We describe the use of fibrin tissue adhesive as an adjunct for reconstructing genital skin loss due to Fournier's gangrene. Materials and Methods: We treated 2 patients with Fournier's gangrene with repeat surgical d{\'e}bridement and antibiotics. Delayed primary closure was enhanced by using liquid fibrin sealant. In 1 case the sealant was used to obliterate a large testicular thigh pouch that had become infected. In the other case it was used to anchor the under surface of a thigh flap for scrotal reconstruction. Results: In each patient the fibrin tissue adhesive prevented further complications of Fournier's disease. Conclusions: Fibrin sealant is an effective adjunct for managing extensive genital skin loss caused by Fournier's gangrene.",
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AB - Purpose: We describe the use of fibrin tissue adhesive as an adjunct for reconstructing genital skin loss due to Fournier's gangrene. Materials and Methods: We treated 2 patients with Fournier's gangrene with repeat surgical débridement and antibiotics. Delayed primary closure was enhanced by using liquid fibrin sealant. In 1 case the sealant was used to obliterate a large testicular thigh pouch that had become infected. In the other case it was used to anchor the under surface of a thigh flap for scrotal reconstruction. Results: In each patient the fibrin tissue adhesive prevented further complications of Fournier's disease. Conclusions: Fibrin sealant is an effective adjunct for managing extensive genital skin loss caused by Fournier's gangrene.

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