<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852020000600009</article-id>
<article-id pub-id-type="doi">10.48193/revistamexicanadeurologa.v80i6.648</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Reconstrucción de las secuelas de la gangrena de Fournier, reporte de dos casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Reconstruction of sequelae due to Fournier&#8217;s gangrene: report of two cases]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bravo-Gálvez]]></surname>
<given-names><![CDATA[Víctor Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Villegas]]></surname>
<given-names><![CDATA[Hedler Olaf]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano de Seguro Social  Centro Médico Nacional del Bajío]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>80</volume>
<numero>6</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852020000600009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852020000600009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852020000600009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Descripción del caso clínico: Dos pacientes hombres, con edad de 47 y 39 años, antecedente en común diabetes mellitus tipo 2 desarrollaron Fournier, realizando debridación de urgencia y manejo con antibióticos de amplio espectro, requiriendo dos o más aseos quirúrgicos, un paciente usó cierre asistido por vacío. Posterior a su recuperación se realizó procedimiento reconstructivo con avances de colgajo y con injerto de piel autóloga de espesor completo extraído del muslo respectivamente.  Relevancia: El Fournier es una infección con alta mortalidad que involucra tejidos blandos de región perineal y genital en inmunocomprometidos, requiriendo manejo quirúrgico agresivo que deja secuelas anatómicas y funcionales importantes. Cuando el paciente se recupera, existe poca evidencia del seguimiento y manejo de las secuelas del Fournier.  Implicaciones clínicas: La terapia reconstructiva tiene como finalidad reincorporar al paciente a su vida normal tratando de mantener una anatomía cercana a la normalidad y funcional. Aún no existen directrices sobre el mejor método de reconstrucción para las secuelas de Fournier, sin embargo, usar injertos es la mejor medida observada.  Conclusión: Usar injertos cutáneos de espesor completo autólogos resulto benéfico para nuestros pacientes, sin embargo, se debe realizar una revisión de la literatura para estandarizar el uso de injertos y las técnicas reconstructivas de acuerdo con las secuelas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Clinical case description: Two men, 47 and 39 years of age, with a history of type 2 diabetes mellitus, developed Fournier&#8217;s gangrene. They underwent emergency debridement, requiring 2 or more surgical toilets, and received antibiotic therapy. One patient underwent vacuum-assisted closure. Once the patients recovered, reconstructive surgery with advancement flaps and full-thickness autologous skin grafts taken from the thigh were carried out, respectively.  Relevance: Fournier&#8217;s gangrene is an infection that has a high mortality rate. It involves the soft tissues of the perineal and genital regions of immunocompromised patients, requiring aggressive surgical management that leaves important anatomic and functional sequelae. When our patients recovered, there was little evidence of the monitoring and treatment of Fournier&#8217;s gangrene sequelae.  Clinical implications: The goal of reconstructive therapy is the reincorporation of the patient into his everyday life, attempting to maintain the anatomy as normal and functional as possible. There are still no guidelines on the best reconstruction method for Fournier&#8217;s gangrene sequelae but at present the use of grafts are considered the best measure.  Conclusion: The use of full-thickness autologous skin grafts was beneficial in our patients. However, a review of the literature should be carried out to standardize the use of grafts and reconstructive techniques, according to the sequelae.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Fournier&#8217;s gangrene]]></kwd>
<kwd lng="en"><![CDATA[sequelae]]></kwd>
<kwd lng="en"><![CDATA[reconstruction]]></kwd>
<kwd lng="en"><![CDATA[graft]]></kwd>
<kwd lng="es"><![CDATA[Gangrena de Fournier]]></kwd>
<kwd lng="es"><![CDATA[secuela]]></kwd>
<kwd lng="es"><![CDATA[reconstrucción]]></kwd>
<kwd lng="es"><![CDATA[injerto]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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