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Management of Fournier`s gangrene: experience of two tertiary care hospitals in Sindh, Pakistan

Muhammad Jawaid Rajput, Abdul Sattar Memon..

Abstract
OBJECTIVE: Health negligence is common in our society. Minor injuries and infections of genitalias can lead to life threatening disorders. The aim of this study was to draw attention towards early diagnosis and appropriate management of Fournier`s gangrene. DESIGN: Descriptive study. SETTING: Departments of Surgery, Liaquat University Hospital Hyderabad (from June 2000 to May 2001) and Mohammad Medical College Hospital Mirpurkhas (from April 2002 to March 2003). PATIENTS AND METHODS: Total 18 patients were admitted and treated for Fournier`s gangrene. Surgical procedures adopted were early wide debridment and later reconstruction. RESULTS: Male remained dominant victim of the disease (88.8%). Average age of patients was 43 years. Urinary tract infection was the commonest etiological factor (44.4%). Mortality was 5.27%. Wide surgical debridment was the first option used for the management. Thirty three percent cases required one stage closure of wound after healthy granulation. More advanced procedures were adopted in others. CONCLUSION: Fournier`s gangrene is a notorious disorder which requires early diagnosis and aggressive treatment. Minor infection should be given due attention as negligence may lead to this life threatening condition.

Key words: Fournier Gangrene. Infections. Societies. Genital Diseases, Male. Negligence. Scrotum. Gangrene. Cooperative Behavior. Abscess.



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