Fournier’s Gangrene in Upper Egypt, Case Series of 14 Patients
Journal Title: International Journal of Surgery and Research (IJSR) - Year 2018, Vol 5, Issue 5
Abstract
Objectives: Fournier’s gangrene is a rare but serious necrotizing infection of the skin and subcutaneous tissues affecting mainly the genital, perineal and perianal regions with poor outcome. Multidisciplinary approach ensures the best management with the mainstay of treatment is the repeated adequate surgical debridement. Broad spectrum antibiotics and hemodynamic support, if needed, are also crucial. Plastic surgery is concerned with reconstruction of the residual defect after control of the infection and stabilization of the patient’s condition. Methods: we present 14 patients with Fournier’s gangrene in the period between July 2009 and August 2015. Those patients were evaluated and managed based on onset, severity of the problem, presence of predisposing factors, site and size of residual defects. Results: Mean age of patients was 47.8 years, male to female ratio was 2.5:1, diabetes mellitus was the commonest predisposing factor, and the scrotum was most frequently involved site. No mortality has been recorded. Conclusion: Fournier’s gangrene is no longer a life threatening condition. It is best treated by early and repeated debridement under broad-spectrum antibiotic cover. Reconstruction markedly reduces financial and psychological stress of patients as well as hospital stay and accelerates early return to normal life.
Authors and Affiliations
Tarek Abulezz
Keywords
Related Articles
- EP ID EP533183
- DOI 10.19070/2379-156X-1800025
- Views 83
- Downloads 0
Spectrum of Surgical Presentation of Eosinophilic Enteritis: A Case Series
Eosinophilic enteritis is a rare disorder presenting mostly with diarrhea, malabsorption, abdominal pain, weight loss and hypersensitivity. Surgical manifestation of eosinophilic gastrointestinal disorders depends on the...
Fournier’s Gangrene in Upper Egypt, Case Series of 14 Patients
Objectives: Fournier’s gangrene is a rare but serious necrotizing infection of the skin and subcutaneous tissues affecting mainly the genital, perineal and perianal regions with poor outcome. Multidisciplinary approach e...
Combined Duodenal Atresia and Pure Esophageal Atresia
Combined duodenal atresia and pure esophageal atresia is a rare combination which has been reported only 13 times previously in the literature. Although this pair of congenital anomalies is amenable to current treatment...
Fibroadenoma of Ectopic Breast Tissue - A Case Report
Fibroadenomas of the breast are highly common among females whereas fibroadenomas of ectopic breast tissue, which can occur anywhere along the early ‘milk lines’ of breast development are a rare occurrence. We report the...
What is Acceptable; More Deaths Pre Transplant or More Deaths Post-Transplant. Share 35 Liver Allocation System
Since the adoption of this policy, more patients (28%) have been transplanted at high MELD scores (> 30) compared to transplant recipients in or prior to 2012 or [1738 (2012 actual) vs. 2128 (2014 actual)] [1]. A prelimi...