Prospective study of clinical profile of Fournier’s gangrene
Journal Title: Medpulse International Journal of Surgery - Year 2019, Vol 9, Issue 2
Abstract
Background: Fournier’s Gangrene is a surgical emergency, a nightmare to surgeon and surgical staffs. The sudden and spectacular swelling of the scrotum followed by its sloughing and the baring of the testicles are dramatic events and after that lead to death. Keeping in mind the fulminating nature of the disease, the surgeon has used a different combination of antibiotics, surgical procedures, dressings and reconstruction procedures. Objectives: To study the clinical profile, evaluate the causative factors, various treatment options and prognosis of patients of Fournier's gangrene. Material and methods: A prospective observational Study conducted in Dept of surgery in our medical college which is tertiary care centre and Government Medical College, Solapur. Duration of study was from Sep 2016 to Aug 2018. 50 patients of Fournier's gangrene were studied. Results: Most common symptom was pain in 45 i.e. 90%, causative factor was idiopathic in 17 i.e. 34%, all patients underwent debridement followed by reconstructive surgery in 22 patients i.e. 44% and mortality was found in 13 i.e. 26% patients of Fournier's gangrene. Conclusion: The mean age of presentation among dead patients is found to be 59 years which is significantly higher than the mean age among survivors which is 54.67 years. The male to female ratio is 48: 2. The source of the disease is most commonly idiopathic, multiple wound debridement are required. The average number of wound debridement required is 1.81. Fournier's gangrene, debridement.
Authors and Affiliations
Jaykar Ritvik D, Jadhav Sachin C, Patel Naser N
Keywords
Related Articles
- EP ID EP526436
- DOI 10.26611/1069217
- Views 136
- Downloads 0
Enlarged prostatic utricle - An unusual presentation
To emphasise that in a patient with retrovesical cyst with clinical history of recurrent urinary tract infection, an enlarged prostatic utricle must be included in differential diagnosis
Epidemiology and risk factors of cholangiocarinoma: A study at MGM medical college, Aurangabad
Background: There are considerable geographic and demographic variations in the incidence of cholangiocarcinoma. Although it comprises only 10-15% of hepatobiliary neoplasms, its incidence is increasing. There are severa...
Surgical outcomes of fascio-cutaneous rhomboid transposition flap surgery for pilonidal sinus- A case series
Aims: To analyze the possibility of complications, recurrence on follow-up and time taken to resume routine activity in cases of sacrococcygeal pilonidal sinus treated with fascio-cutaneous rhombic transposition flap rep...
Comparison of sentinel lymph node biopsy versus four node sampling for management of carcinoma breast
Background: Breast cancer is the leading malignancy, and the second leading cause of cancer related deaths. It is well established that axillary lymph node status is a very important prognostic factor in breast cancer pa...
Surgical management of carcinoma urinary bladder at tertiary care teaching hospital in central India
Background: Surgery a very important part of the management of invasive urinary bladder cancer, used mostly in the more classical approach (i.e. radical cystectomy with or without bladder reconstruction) or as a componen...