Fournier's Gangrene: From Diagnosis to Reconstruction
Amine Rafik, Samira Taqafi, Mounia Diouri, Naima Bahechar, Abdessamad Chlihi, Ayoub Halfya, Khalid Elmourtaji, Redouane Rabii, Fethi Meziane
Journal of Advances in Medicine and Medical Research · pp. 1–6 · Published 22 Apr 2019
10.9734/jammr/2019/v29i730101Abstract
Fournier gangrene (FG) is an acute and potentially fatal infection of the scrotum, perineum, and abdominal wall. It is characterized by necrotizing fasciitis with loss of subcutaneous tissue and skin. Although originally thought to be an idiopathic process, FG has been shown to have a predilection for patients with diabetes as well as long-term alcohol misuse; however, it can also affect patients with non‐obvious immune compromise. Twenty patients were admitted to our hospital with the diagnosis of Fournier gangrene, between 1 January 2011 to January 2013. The epidemiological characteristics, evolution and treatment modalities were reviewed. Early surgical debridement of necrotic tissues and antibiotics are fundamental in the treatment of FG. Scrotal reconstruction with skin grafts or flaps is fundamental to improve the quality of life and provides social reinsertion.
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