PMC9343677_01
Situation during the first debridement.
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F2
During the operation, the wound was expanded longitudinally from the right scrotum to the anterior superior iliac spine, the necrotic tissue was removed, washed repeatedly with hydrogen peroxide and normal saline, and filled with oil gauze (Figure 2).
In secondary debridement, expand the incision and turn over the skin to both sides.
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F3
The incision was expanded and debridement was performed again (Figure 3).
VSD after three debridements.
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F4
On the 18th, debridement was performed again, the scrotal incision was sutured, and the VSD technique was used in the lower abdominal incision (Figure 4).
Four operations to remove VSD (left); suture and skin grafting (right).
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F5
The wound suture was combined with VSD again (Figure 5).
PMC9343677_02
Scrotal gangrene at the admission of patient 2.
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F6
Physical examination: the left lower abdominal wall is red, swelling, and tenderness, most of the scrotal skin is black, ulcerated, necrotic, and smelly, and the left testicular sheath is swollen and exposed (Figure 6).
Patient 2, during secondary debridement.
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F7
The Y-shaped enlarged incision was made during the operation and debridement was performed again (Figure 7).