Predisposing Factors and Outcome of Fournier’s Gangrene

A Jeya Anand; K Dalton Jebaraj

A Jeya Anand Thoothukudi Medical College Hospital, Thoothukudi, Tamil Nadu, India
K Dalton Jebaraj Thoothukudi Medical College Hospital, Thoothukudi, Tamil Nadu, India

Keywords: Debridement,, Fournier’s gangrene, Management,, Necrotizing fasciitis

Abstract

Introduction: Fournier’s gangrene (FG) is the fulminant necrotizing fasciitis of the perineum and genitalia resulting from polymicrobial infection. This disease is known to be prevalent for many centuries.
Aim: This study aims to study the predisposing factors associated with FG and its outcome.
Materials and Methods: Patients with features of necrotizing fasciitis of the perineal/genital regions were included in the study. The diagnosis was confirmed by clinical examination and detailed history regarding prior history of diabetes mellitus, hypertension, perianal sepsis, urinary retention/extravasation, trauma, and immunodeficiency states was recorded. The mortality and morbidity rates were calculated.
Results: Diabetes was the most common predisposing factor associated with FG (44.4%). Escherichia coli was the most common organism involved both in survivors and non-survivors group. One-third of the patients were infected with multiple species. The mortality rate encountered in our study was 15%.
Conclusion: Early recognition of the pathology and aggressive surgical debridement is the mainstays of the management of FG. Additional strategies to improve wound healing and increase patient survival are also needed.

Author Biographies

A Jeya Anand, Thoothukudi Medical College Hospital, Thoothukudi, Tamil Nadu, India

Senior Assistant Professor, Department of General Surgery,

K Dalton Jebaraj, Thoothukudi Medical College Hospital, Thoothukudi, Tamil Nadu, India

Senior Assistant Professor, Department of General Surgery,

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