Necrotising Fasciitis of the perineum is a challenging problem to tackle with issues like rampant infections, repeated debridements and comorbidities. It is characterised by a long clinical course with majority of that time needed in wound bed preparation. External Tissue expansion for wound closure (ETEWC) is an indigenous and simple modality that involves stretching of the wound margins and helps in early wound closure while not interfering with the wound bed preparation. It involved application of hooks on the wound margin and using rubber bands to pull the opposite ends together with a dressing in situ. It acts like a dressing holder and prevents skin margin retraction while not interfering with the time taken for the wound infection to settle. ETEWC for aiding wound closure in fournier’s gangrene wound has not been reported in available literature. We wanted to report our experience with the same.

Keyword: ETEWC; Fournier’s Gangrene; Skin Stretching devices; Wound closure.