Fibrin sealant for the reconstruction of fournier's gangrene sequelae

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.