Scrotal reconstruction after Fournier's Gangrene using the superficial circumflex iliac artery perforator (SCIP) propeller flap: A case report

Fournier's gangrene, a rare infectious condition affecting the external genitalia, often requires aggressive medical-surgical interventions, resulting in variable scrotal tissue loss. Despite numerous proposed reconstruction techniques, achieving a consensus on the most effective approach that balances aesthetics and function remains elusive. This case report presents a one-year follow-up on scrotal reconstruction using a pedicled Superficial Circumflex Iliac Artery Perforator (SCIP) propeller flap. A 56-year-old patient with significant scrotal tissue loss due to Fournier's gangrene underwent scrotal reconstruction using a pedicled SCIP propeller flap. Optimal placement was ensured through a subcutaneous tunnel, with a thin thigh skin graft applied to cover the penile skin defect. The SCIP flap is distinguished by its thin and pliable characteristics, rapid harvesting and featuring a discreet donor site. It stands as a compelling alternative to skin grafts, providing advantages in sensory restoration, color congruence, and resilience against tension. Considering the thickness of the reconstruction helps both in recovering testicular function and improving the appearance by restoring the natural contour. The utilization of the pedicled SCIP propeller flap for scrotal tissue loss resulting from Fournier's gangrene has demonstrated both aesthetic and functional success, underscoring its potential as an effective reconstructive option. La gangrène de Fournier est une infection rare affectant les organes génitaux externes, nécessitant souvent des interventions médicochirurgicales agressives et entraînant des pertes de substance scrotales variables. Malgré de nombreuses techniques de reconstruction proposées, parvenir à un consensus sur l’approche la plus efficace, conciliant esthétique et fonction, demeure difficile. Ce cas clinique présente un suivi d’un an sur la reconstruction scrotale en utilisant un lambeau perforant en hélice pédiculé SCIP. Un patient de 56 ans, victime d’une perte de substance scrotale due à une gangrène de Fournier, a bénéficié d’une reconstruction en utilisant un lambeau propeller SCIP pédiculé. La conformation a été réalisée par un tunnel sous-cutané, avec l’application d’une greffe de peau mince prélevée sur la cuisse pour couvrir la perte de substance cutanée pénienne. Le lambeau SCIP se distingue par sa finesse et sa souplesse, par un prélèvement rapide et en ayant un site donneur discret. Il se positionne comme une alternative au