Management of Fournier's gangrene: review of 45 cases

Fournier's gangrene is a fatal synergistic infectious disease with necrotizing fasciitis of the perineum and abdominal wall along with the scrotum and penis in men and the vulva in women. The clinical and operative records of 45 patients with Fournier's gangrene during a 14-year period wer...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2007-07, Vol.37 (7), p.558-563
Main Authors: Basoglu, Mahmut, Ozbey, Isa, Atamanalp, Sabri Selcuk, Yildirgan, Mehmet Ilhan, Aydinli, Bulent, Polat, Ozkan, Ozturk, Gurkan, Peker, Kemal, Onbas, Omer, Oren, Durkaya
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Debridement - methods
Diagnosis, Differential
Female
Follow-Up Studies
Fournier Gangrene - diagnosis
Fournier Gangrene - epidemiology
Fournier Gangrene - surgery
Humans
Incidence
Magnetic Resonance Imaging
Male
Middle Aged
Perineum
Survival Rate
Tomography, X-Ray Computed
Turkey - epidemiology
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Summary:Fournier's gangrene is a fatal synergistic infectious disease with necrotizing fasciitis of the perineum and abdominal wall along with the scrotum and penis in men and the vulva in women. The clinical and operative records of 45 patients with Fournier's gangrene during a 14-year period were analyzed. The etiology of the infection was identified in 39 patients. The most common causes were colorectal diseases and urogenital diseases. Four patients died with an overall mortality of 8.8%. The mortality rate was higher in patients with diabetes mellitus, but it was not statistically different. The age, duration of the symptoms, and the presence of rectal abscess were not found to be significant factors regarding mortality rate. Surgery with extensive debridement of all necrotic tissue is the main stay of treatment.
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-006-3391-6