Fibrin sealant for the reconstruction of fournier's gangrene sequelae.

Abstract

We describe the use of fibrin tissue adhesive as an adjunct for reconstructing genital skin loss due to Fournier's gangrene. 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. In each patient the fibrin tissue adhesive prevented further complications of Fournier's disease. Fibrin sealant is an effective adjunct for managing extensive genital skin loss caused by Fournier's gangrene.