Fournier's gangrene: a retrospective clinical study on forty-one patients

Background:  Fournier's gangrene, first described by Dr Jean Alfred Fournier in 1883, still has a high mortality rate. The prognosis and outcome of such patients were analysed. Methods:  Forty‐one patients with Fournier's gangrene were reviewed on the parameters of age, sex, aetiological a...

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Bibliographic Details
Published in:ANZ journal of surgery 2005-12, Vol.75 (12), p.1055-1058
Main Authors: Ayan, Fadil, Sunamak, Oguzhan, Paksoy, Sabri M., Polat, Semra S., As, Abdullah, Sakoglu, Nevin, Cetinkale, Oguz, Sirin, Feridun
Format: Article
Language:English
Subjects:
Adult
Aged
Debridement
Fournier Gangrene - etiology
Fournier Gangrene - surgery
Fournier's gangrene
Genital Diseases, Male - surgery
Humans
Hygiene
hyperbaric oxygen
Hyperbaric Oxygenation
Male
Middle Aged
Retrospective Studies
Scrotum - surgery
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Summary:Background:  Fournier's gangrene, first described by Dr Jean Alfred Fournier in 1883, still has a high mortality rate. The prognosis and outcome of such patients were analysed. Methods:  Forty‐one patients with Fournier's gangrene were reviewed on the parameters of age, sex, aetiological agents, predisposing factors, treatment modalities and outcomes. Results:  Although early intervention and careful treatment was carried out, nine of 41 patients (21.9%) died as a result of complications of septicemia. Among the treatment modalities, there were extensive debridement, drainage, excisions of the skin and fascia, colostomy procedure, extensive antibiotic treatment and hyperbaric oxygen therapy. Although a combination of different treatment modalities were used, the mortality rate was 21.9%. Conclusions:  Fournier's gangrene is still a severe disease. Today, hyperbaric oxygen treatment is very effective in the treatment of this disease.
ISSN:1445-1433
1445-2197
DOI:10.1111/j.1445-2197.2005.03609.x