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

Abstract:

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.

journal_name

ANZ J Surg

journal_title

ANZ journal of surgery

authors

Ayan F,Sunamak O,Paksoy SM,Polat SS,As A,Sakoglu N,Cetinkale O,Sirin F

doi

10.1111/j.1445-2197.2005.03609.x

keywords:

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

1055-8

issue

12

eissn

1445-1433

issn

1445-2197

pii

ANS3609

journal_volume

75

pub_type

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