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 114
- Downloads 0
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...
The Development and Current Practices for Enhanced Recovery Following Colorectal Resection in The United Kingdom
Enhanced recovery following colorectal resection is a set of interventions which, when combined, lead to early return of gut function, fewer complications and a shorter length of stay. It divides the patient’s journey in...
The Use of Point of Care Testing for Monitoring of APTT in Patients Receiving Heparin Infusion
Background: There is a high risk of thromboembolic events among patients undergoing cardiac surgery, and perioperative anticoagulation is sometimes required. The time taken for laboratory based APTT blood sampling result...
Why is Postoperative Atrial Fibrillation Difficult to Prevent and Treat: Potential Roles of Unrecognized Magnesium Deficiency and Release of Ceramide and Platelet-Activating Factor
Heart failure is a major cause of morbidity and mortality whose costs impose staggering health-care costs and often lengthy hospitalizations. Post-operative atrial fibrillation (POAF) represents a leading cause for heart...
A Case of Synchronous Renal and Splenic Artery Embolism in a Patient with Atrial Fibrillation
Introduction: Renal and splenic artery embolism are rare conditions and even more rarely they present simultaneously in the same patient. Case Report: We present a case of patient with renal and splenic artery embolism,...