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Global Journal of Surgery. Volume 2, Issue 3 (2011) pp. 133-139
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Research Article
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Fournier’s gangrene - A five years study of 48 patients
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Madhumita Mukhopadhyay, Anil Kumar Saha
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Department of General Surgery, Calcutta National Medical College and Hospital, Kolkata, India
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Abstract |
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Introduction: Fournier’s gangrene is a polymicrobial necrotizing fascitis of the perineal, perianal or genital area. Experimental: A retrospective analysis of 48 patients of fournier’s gangrene over a 5 year period. The patients were reviewed regarding age, sex, etiology, clinical presentation, laboratory tests, bacteriology, associated comorbid conditions, time from onset to admission, treatment done, secondary procedures, morbidity and mortality. Results and Discussion: Out of 48 patients there was only one female. The mean age was 46.96 ± 8.45 years. Diabetes was the most common co-morbid condition in 29.17% patients. Regarding etiology, majority of the cases were idiopathic. Etiology when present, included scrotal and perianal abscess, trauma, insect bite, thrombosed piles, hemoroidectomy, scald and UTI. Most of the patients were from the lower socio-economic status with unhygienic habits. Mean duration of symptoms was 6.02 ± 1.804 days. The culture was polymicrobial in all the cases. The commonest bacteria isolated were E.Coli (70.83%). Mean number of debridements were 3.38. Secondary surgical procedures included mobilization and suturing (77.08%), skin grafting (18.75%) or a combination of the two (4.17%). Mean duration of hospital stay was 33.58 ± 2.96 days. Mean FGSIS calculated in 35 patients was 2.09 ± 1.704. There was no mortality in our series. Conclusions: Fournier’s gangrene is common in middle aged males. Diabetes is the most common co-morbid condition associated with fournier’s gangrene. Early diagnosis and aggressive surgical debridement reduces morbidity.
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Keywords |
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Fournier’s gangrene, Necrotizing fascitis, Diabetes Mellitus
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