a Initial presentation of sample patient #6 with Fourniers gangrene involving the left hemiscrotum and left groin. b Consolidated soft tissue defect after hemiscrotectomy and radical debridement/vacuum therapy. Note that the left testis was moved to the inguinal region during tissue consolidation (white arrow). c Intraoperative appearance of the raised ALT flap. The white arrow points at the perforator artery. d Immediate postoperative result after rotation of the ALT flap into the defect. Before closure, the left testis was moved to the lowest possible point (red dot) of the defect. Here, after wound consolidation, revisional surgery with the creation of a left neoscrotum is planned. ALT, anterolateral thigh perforator.