{"id":"https://openalex.org/W7135246786","doi":null,"title":"A Case of Extrasphincteric Enterocutaneous Fistula After Scrotal Reconstruction for Fournier Gangrene: Use of a Novel Salvage Technique.","display_name":"A Case of Extrasphincteric Enterocutaneous Fistula After Scrotal Reconstruction for Fournier Gangrene: Use of a Novel Salvage Technique.","publication_year":2025,"publication_date":"2025-01-01","ids":{"openalex":"https://openalex.org/W7135246786","pmid":"https://pubmed.ncbi.nlm.nih.gov/41822399","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12975517"},"language":"en","primary_location":{"id":"pmh:oai:pubmedcentral.nih.gov:12975517","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12975517/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12975517/pdf/eplasty-25-e32.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Eplasty","raw_type":"Text"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12975517/pdf/eplasty-25-e32.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5016398345","display_name":"Micaela J. Tobin","orcid":"https://orcid.org/0000-0002-8905-3250","observed_orcids":["https://orcid.org/0000-0002-8905-3250"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Micaela J Tobin","raw_affiliation_strings":["Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5128999867","display_name":"John B Park","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John B Park","raw_affiliation_strings":["Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092898397","display_name":"Tricia Mae Raquepo","orcid":"https://orcid.org/0000-0001-9965-4853","observed_orcids":["https://orcid.org/0000-0001-9965-4853"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Tricia Mae Raquepo","raw_affiliation_strings":["Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115595796","display_name":"Mohammed Yamin","orcid":"https://orcid.org/0009-0005-9803-291X","observed_orcids":["https://orcid.org/0009-0005-9803-291X"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mohammed Yamin","raw_affiliation_strings":["Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015516809","display_name":"Helen Xun","orcid":"https://orcid.org/0000-0002-0412-4356","observed_orcids":["https://orcid.org/0000-0002-0412-4356"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Helen Xun","raw_affiliation_strings":["Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5129069615","display_name":"Adam Jac","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Adam Jac","raw_affiliation_strings":["Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004386249","display_name":"Kristen T. Crowell","orcid":"https://orcid.org/0000-0002-9138-186X","observed_orcids":["https://orcid.org/0000-0002-9138-186X"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kristen T Crowell","raw_affiliation_strings":["Division of Colon and Rectal Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Colon and Rectal Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104079715","display_name":"Marissa A. Kent","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marissa A Kent","raw_affiliation_strings":["Division of Urology, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Urology, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5027574486","display_name":"Ryan P. Cauley","orcid":"https://orcid.org/0000-0001-8291-433X","observed_orcids":["https://orcid.org/0000-0001-8291-433X"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ryan P Cauley","raw_affiliation_strings":["Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.61288591,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"25","issue":null,"first_page":"e32","last_page":"e32"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11815","display_name":"Urological Disorders and Treatments","score":0.21979999542236328,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11815","display_name":"Urological Disorders and Treatments","score":0.21979999542236328,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11865","display_name":"Anorectal Disease Treatments and Outcomes","score":0.2003999948501587,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12333","display_name":"Abdominal Surgery and Complications","score":0.1316000074148178,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/fournier-s-gangrene","display_name":"Fournier's gangrene","score":0.8820000290870667},{"id":"https://openalex.org/keywords/scrotal-reconstruction","display_name":"scrotal reconstruction","score":0.972000002861023},{"id":"https://openalex.org/keywords/methylene-blue-staining","display_name":"methylene blue staining","score":0.5350000262260437},{"id":"https://openalex.org/keywords/anal-sphincter-preservation","display_name":"anal sphincter preservation","score":0.843999981880188},{"id":"https://openalex.org/keywords/salvage-technique","display_name":"salvage technique","score":0.503000020980835},{"id":"https://openalex.org/keywords/penile-urethra","display_name":"penile urethra","score":0.5950000286102295}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9230999946594238},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.758899986743927},{"id":"https://openalex.org/C2776341189","wikidata":"https://www.wikidata.org/wiki/Q189470","display_name":"Fistula","level":2,"score":0.532800018787384},{"id":"https://openalex.org/C2779105634","wikidata":"https://www.wikidata.org/wiki/Q1344610","display_name":"Enterocutaneous fistula","level":3,"score":0.4717999994754791},{"id":"https://openalex.org/C2993285706","wikidata":"https://www.wikidata.org/wiki/Q4751007","display_name":"Anal sphincter","level":2,"score":0.34439998865127563},{"id":"https://openalex.org/C2780035688","wikidata":"https://www.wikidata.org/wiki/Q2465231","display_name":"Anal canal","level":3,"score":0.3246999979019165},{"id":"https://openalex.org/C2777786686","wikidata":"https://www.wikidata.org/wiki/Q58","display_name":"Penis","level":2,"score":0.32120001316070557},{"id":"https://openalex.org/C2776407911","wikidata":"https://www.wikidata.org/wiki/Q7525187","display_name":"Sinus (botany)","level":3,"score":0.31779998540878296},{"id":"https://openalex.org/C2780877482","wikidata":"https://www.wikidata.org/wiki/Q746416","display_name":"Sphincter","level":2,"score":0.3037000000476837},{"id":"https://openalex.org/C523026621","wikidata":"https://www.wikidata.org/wiki/Q1413084","display_name":"Colorectal surgery","level":3,"score":0.26170000433921814}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:pubmedcentral.nih.gov:12975517","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12975517/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12975517/pdf/eplasty-25-e32.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Eplasty","raw_type":"Text"},{"id":"pmid:41822399","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41822399","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Eplasty","raw_type":"Case Reports"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:12975517","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12975517/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12975517/pdf/eplasty-25-e32.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Eplasty","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9763000011444092}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7135246786.pdf","grobid_xml":"https://content.openalex.org/works/W7135246786.grobid-xml"},"referenced_works_count":17,"referenced_works":["https://openalex.org/W10440330","https://openalex.org/W117574043","https://openalex.org/W1647468780","https://openalex.org/W1964864129","https://openalex.org/W1992538097","https://openalex.org/W2028087528","https://openalex.org/W2038536063","https://openalex.org/W2048802979","https://openalex.org/W2069134682","https://openalex.org/W2075855935","https://openalex.org/W2092259617","https://openalex.org/W2104972105","https://openalex.org/W3018846273","https://openalex.org/W3028485192","https://openalex.org/W4380290610","https://openalex.org/W4391532759","https://openalex.org/W4400582008"],"related_works":["https://openalex.org/W7214398597","https://openalex.org/W2439058377","https://openalex.org/W2015060720","https://openalex.org/W2569608564","https://openalex.org/W2290163739","https://openalex.org/W1972364507","https://openalex.org/W2022798007","https://openalex.org/W1987927931","https://openalex.org/W4402333978","https://openalex.org/W2921785114"],"abstract_inverted_index":{"Anocutaneous":[0],"and":[1,9,11,66,101,103,106,134],"rectocutaneous":[2],"fistulas":[3,13,159],"are":[4],"associated":[5],"with":[6,48],"high":[7],"morbidity":[8],"mortality,":[10],"complex":[12,157],"often":[14],"pose":[15],"challenges":[16],"to":[17,40,108,113,139,156],"surgical":[18],"repair.":[19],"Here,":[20],"the":[21,35,38,41,58,62,88,95,99,114,127,131,140],"authors":[22],"report":[23],"a":[24,27,46,49,79,109,121,151],"case":[25],"of":[26,37,51,61,75,98,137],"rare":[28],"7-cm":[29],"extrasphincteric":[30,81],"fistula":[31],"that":[32,125],"extended":[33],"from":[34,94],"base":[36,97],"phallus":[39],"external":[42],"anal":[43,115],"canal":[44],"in":[45,160],"patient":[47],"history":[50],"scrotal":[52,128,141],"reconstruction":[53],"after":[54],"Fournier":[55],"gangrene.":[56],"Despite":[57],"anterior":[59,112],"location":[60],"cutaneous":[63],"sinus":[64],"tract":[65,90,124],"initial":[67],"concern":[68],"for":[69],"penile":[70],"urethral":[71],"involvement,":[72],"intraoperative":[73],"instillation":[74],"methylene":[76],"blue":[77],"revealed":[78],"long":[80],"anocutaneous":[82],"fistula.":[83],"With":[84],"colorectal":[85],"surgery":[86],"co-involvement,":[87],"mature":[89,158],"was":[91],"dissected":[92],"free":[93],"urethra,":[96],"penis,":[100],"scrotum,":[102],"redirected":[104],"inferiorly":[105],"diverted":[107],"new":[110],"position":[111],"sphincter":[116,132],"complex.":[117],"This":[118,143],"technique":[119,145],"created":[120],"significantly":[122],"shorter":[123],"salvaged":[126],"reconstruction,":[129],"preserved":[130],"complex,":[133],"minimized":[135],"risk":[136],"infection":[138],"reconstruction.":[142],"novel":[144],"can":[146],"be":[147],"used":[148],"as":[149],"either":[150],"temporary":[152],"or":[153],"permanent":[154],"solution":[155],"high-risk":[161],"patients.":[162]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-03-14T00:00:00"}
