PMC5852919_01
Fournier's gangrene involving the anterior scrotum before debridement
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F1
The severe infection of the scrotum resulted in complete loss of all of the underlying fascia and left the patient with exposed testes [Figure 1].
Integra placement over the scrotal defect
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F2
Fourteen days later, split-thickness skin grafts were used for coverage of the lower extremity, flank, groin, and penile wounds and Integra was used to cover the anterior scrotum and exposed testes [Figure 2].
The incorporated Integra following removal of the outer silicone sheet at the time of split-thickness skin-graft placement, 2 weeks following initial Integra placement
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F3
The Integra appeared fully incorporated by the patient's tissue, and healthy granulation was present at the wound base [Figure 3].
Well-healed skin graft, 1 week following skin-graft placement
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F4
The skin graft healed well with complete and stable wound coverage [Figures 4 and 5].
Well-healed skin graft, 3 weeks following skin-graft placement
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F5
The skin graft healed well with complete and stable wound coverage [Figures 4 and 5].