Observational Study on Fournier’s Gangrene and Usefulness of Fournier’s Gangrene Severity Index in Predicting the Outcome.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 3
Abstract
Fournier’s gangrene was first described by Fournier in 1764 as extensive necrotizing soft tissue infection of the perineum. It also involves areas like lower urinary tract, anus, rectum, and colon. It is a fulminating, rapidly spreading infection which causes thrombosis of blood vessels which results in gangrene of the external genital organs. It affects all age groups and has been reported in both males and females and various etiological factors have been described. It is more commonly seen in middle age groups with immuno-compromised status like diabetes mellitus, malignancy, alcoholism, chronic renal disease. The basic treatment involves resuscitation, prompt excision of all non-viable tissue, limiting any infective process, antibiotics and occasional anatomical reconstruction. Orchidectomy may rarely be required. A method of reconstruction of scrotum includes burying the testes in thigh or in the abdomen, split skin graft or wide surgical debridement with delayed suturing. Early recognition with urgent surgical debridement and antibiotics form the mainstay in managing these cases. The course of disease is very rapid and the disease can be lethal if presented lately. Objectives • To study the incidence and prevalence of Fournier’s gangrene • To assess predisposing factors, etiological factors and duration of symptoms of Fournier’s gangrene • To analyze the need for repeated surgical debridement and the interval between them will be recorded and assessed • To ascertain the usefulness of Fournier’s gangrene severity index in predicting the outcome
Authors and Affiliations
Dr. Shahbaz Baig C. M.
Keywords
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