BACKGROUND:
Fournier’s gangrene is necrotizing fasciitis of the external genitalia and perineum.
OBJECTIVE:
To study the etiology, microbiology, reconstructive
procedures and mortality associated with fournier’s gangrene.
STUDY PLACE AND PERIOD:
Coimbatore Medical College Hospital, September 2011 to November 2012.
METHODOLOGY:
34 patients presented to the outpatient department and emergency department were included in the study. Information regarding etiology, microbiology, reconstructive procedures and mortality was studied.
RESULTS:
The disease most commonly originates from anorectal
source (35.3%). Diabetes mellitus is the most commonly associated comorbid factor (38.2%). The disease is most commonly Polymicrobial (79.4%). The most commonly isolated organism is E coli (47%). Mean number of debridement performed is 2.9. Reconstructive procedure were performed in 50% of individuals and primary closure is the commonly performed surgery (38.2%). Mortality associated with the series is 11.8%. FGSI is a useful indicator in predicting mortality.
CONCLUSIONS :
Despite of recent advances the disease still carries
significant mortality. Early resuscitation with aggressive debridement is required in most of the cases
