case_images: PMC9343677_01
case_images: Situation during the first debridement.
case_images: fsurg-09-952042-g002.jpg
case_images: PMC9343677_01_fsurg-09-952042-g002.jpg
case_images: F2
case_images: 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).
case_images: In secondary debridement, expand the incision and turn over the skin to both sides.
case_images: fsurg-09-952042-g003.jpg
case_images: PMC9343677_01_fsurg-09-952042-g003.jpg
case_images: F3
case_images: The incision was expanded and debridement was performed again (Figure 3).
case_images: VSD after three debridements.
case_images: fsurg-09-952042-g004.jpg
case_images: PMC9343677_01_fsurg-09-952042-g004.jpg
case_images: F4
case_images: 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).
case_images: Four operations to remove VSD (left); suture and skin grafting (right).
case_images: fsurg-09-952042-g005.jpg
case_images: PMC9343677_01_fsurg-09-952042-g005.jpg
case_images: F5
case_images: The wound suture was combined with VSD again (Figure 5).
case_images: PMC9343677_02
case_images: Scrotal gangrene at the admission of patient 2.
case_images: fsurg-09-952042-g006.jpg
case_images: PMC9343677_02_fsurg-09-952042-g006.jpg
case_images: F6
case_images: 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).
case_images: Patient 2, during secondary debridement.
case_images: fsurg-09-952042-g007.jpg
case_images: PMC9343677_02_fsurg-09-952042-g007.jpg
case_images: F7
case_images: The Y-shaped enlarged incision was made during the operation and debridement was performed again (Figure 7).