<?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>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922025000300247</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922025000300005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento quirúrgico del ano flotante circunferencial en la gangrena de Fournier]]></article-title>
<article-title xml:lang="en"><![CDATA[Surgical treatment of circumferential floating anus in Fournier's gangrene]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calderón]]></surname>
<given-names><![CDATA[Wilfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camacho]]></surname>
<given-names><![CDATA[Juan Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Obaid]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Toloza]]></surname>
<given-names><![CDATA[Matías]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vilca]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fakih]]></surname>
<given-names><![CDATA[Ramy El]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Chile Hospital del Salvador Cirujano Plástico]]></institution>
<addr-line><![CDATA[Santiago ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Chile Hospital del Salvador y Hospital del Trabajador Cirujano Plástico]]></institution>
<addr-line><![CDATA[Santiago ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Chile Cirugía Plástica ]]></institution>
<addr-line><![CDATA[Santiago ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Equipo de Cirugía Plástica del Hospital del Salvador Cirujano General ]]></institution>
<addr-line><![CDATA[Santiago ]]></addr-line>
<country>Chile</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2025</year>
</pub-date>
<volume>51</volume>
<numero>3</numero>
<fpage>247</fpage>
<lpage>250</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922025000300247&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922025000300247&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922025000300247&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo. La gangrena de Fournier es una fascitis necrosante de rápida progresión de las regiones perineal y genitourinaria, asociada con altas tasas de mortalidad. El ano flotante circunferencial es una complicación poco frecuente de la misma, pero grave, en la que el ano se separa completamente de su soporte anatómico. Presentamos el tratamiento quirúrgico del ano flotante circunferencial como complicación de la gangrena de Fournier.  Material y método. Entre 2011 y 2023 se trataron 43 pacientes con gangrena de Fournier en el Hospital del Salvador en Santiago, Chile. Cuatro de ellos presentaron ano flotante circunferencial: 3 hombres y 1 mujer, de entre 58 y 65 años de edad. Todos fueron sometidos a desbridamiento quirúrgico amplio inicial y posterior reconstrucción con colgajos fasciocutáneos bilaterales en V-Y de la cara medial o posteromedial del muslo o de la región glútea.  Resultados. Todos los colgajos sobrevivieron completamente. Hubo 2 dehiscencias parciales tratadas exitosamente con terapia de presión negativa y no hubo recurrencia del ano flotante. El seguimiento osciló entre 35 y 65 días.  Conclusiones. En nuestro grupo de pacientes, los colgajos fasciocutáneos en V-Y han sido una alternativa segura, eficaz y relativamente sencilla para la reconstrucción del ano flotante circunferencial en el contexto de la gangrena de Fournier. Nivel de evidencia científica 4c Terapéutico]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective. Fournier's gangrene is a rapidly progressing necrotizing fasciitis of the perineal and genitourinary regions, associated with high mortality rates. Circumferential floating anus is an uncommon but severe complication in which the anus is completely detached from its anatomic support. We present the surgical treatment of circumferential floating anus as a complication of Fournier's gangrene.  Methods. From 2011 to 2023, 43 patients with Fournier&#8217;s gangrene were treated at Hospital del Salvador in Santiago, Chile. Four patients, 3 men and 1 woman, aged between 58 and 65 years old, developed circumferential floating anus. Initial treatment involved wide surgical debridement. Definitive reconstruction was performed using bilateral V-Y fasciocutaneous flaps from the medial, posteromedial thigh, or gluteal region.  Results. All flaps survived completely. Two patients experienced minor dehiscence, resolved with negative pressure wound therapy. No cases of recurrence were noted. Follow-up ranged from 35 to 65 days.  Conclusions. In our series of patients, bilateral V-Y fasciocutaneous advancement flaps were a safe and effective option for treating circumferential floating anus in Fournier's gangrene. Level of evidence 4c Therapeutic]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Fournier's gangrene]]></kwd>
<kwd lng="en"><![CDATA[Floating anus]]></kwd>
<kwd lng="en"><![CDATA[V-Y advancement flaps]]></kwd>
<kwd lng="en"><![CDATA[Fasciocutaneous flaps.]]></kwd>
<kwd lng="es"><![CDATA[Gangrena de Fournier]]></kwd>
<kwd lng="es"><![CDATA[Ano flotante]]></kwd>
<kwd lng="es"><![CDATA[Colgajo en V-Y]]></kwd>
<kwd lng="es"><![CDATA[Colgajo fasciocutáneo.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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