Fournier’s Gangrene
Journal Title: Turkish Journal of Colorectal Disease - Year 2019, Vol 29, Issue 4
Abstract
Fournier’s gangrene is a disease of the perineal, genital or perianal regions characterized by necrositic fasciitis due to synergistic polymicrobial infection. Fourteen patients diagnosed with Fournier’s gangrene between 2009-2018 in our clinic were evaluated retrospectively. All patients were admitted to the emergency department or outpatient clinic of our hospital. The mean age of the patients was 58.6 (37-81) years. Diabetes mellitus (42%) and hypertension (42%) were the most common comorbidities in our patients with Fournier’s gangrene. Surgical debridement of necrotic tissues, broad-spectrum antibiotic therapy and nutritional support were applied to all patients. In the second session, reconstructive surgery was performed to repair the wound defect in 3 patients, hyperbaric oxygen therapy in 8 patients, negative pressure dressing in 5 patients, diversion colostomy in 3 patients. Mortality rate was 7% (1 patient). In conclusion, Fournier’s gangrene is a serious disease which is seen rarely in the emergencies of general surgery and urology clinics but has high mortality due to its insidious clinic.
Authors and Affiliations
Taygun Gülşen, İlker Sücüllü, Ahmet Ziya Balta, Mustafa Demir, Yavuz Kurt
Keywords
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