Gangrena Fournier i rekonstrukcija nastalih defekata

Fournier?s gangrene is remarkably rare but severe, life threatening condition. Thanks to better early recognition of disease in past few years, the percentage of patients which survive this condition is considerable, but consequence of this fact is large number of patients with defects of cutis and subcutis in perineal and scrotal regions. Reconstruction of this defects is complicate and require healthy, well vascularised tissue from another anatomical region which is not involved in gangrenous process. Authors present two cases of reconstruction of defects in perineal and scrotal regions. First case is large defect which is covered by transposition of musculus gracilis musculo-cutaneous flap. Second case is lesser defect which is enclosed by mobilization of local skin flaps. . Gangrena Fournier predstavlja retko ali veoma tesko oboljenje koje ugrozava zivot bolesnika. Zahvaljujuci napretku u ranom prepoznavanju ovog stanja, poslednih godina se povecava procenat prezivljavanja ali kao posledica ostaju veliki defekti koze i mekih tkiva u perinealnoj i skrotalnoj regiji. Rekonstrukcija defekata u ovoj regiji je slozena i zahteva dovodjenje zdravog, dobro vaskularizovanog tkiva iz druge anatomske regije koja nije bila ugrozena gangrenoznim procesom. Autori opisuju dva slucaja rekonstrukcije defekata skrotuma i perineuma. U prvom slucaju opisuje se zbrinjavanje velikog defekta koji je rekonstruisan transpozicijom misicno-koznog reznja musculus gracilis-a. U drugom slucaju radi se o manjem defektu koji je rekonstruisan mobilizacijom lokalnih koznih reznjeva. .