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About epifascial gangrene

The occurrence of epifascial gangrene in the scrotal region is caused by anatomical and physiological features of this region. The absence of anastomoses of scrotal skin arteries with the underlying anatomical formations, which worsens the local blood supply conditions, draws attention. Triggering mechanisms causing epifascial gangrene (surgical and domestic trauma, skin diseases, etc.) cause vasomotor reaction of blood circulation at the level of arterioles, lymph circulation with evident ischemia and secondary venous thrombosis. This creates conditions for intensive development, accumulation and manifestation of pathogenic properties of microbial flora naturally vegetating on the surface or penetrating into the subcutaneous tissue from the thoracic and abdominal cavity during surgery.