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Surgery Today

, Volume 37, Issue 7, pp 558–563 | Cite as

Management of Fournier's Gangrene: Review of 45 Cases

  • Mahmut Basoglu
  • Isa Ozbey
  • Sabri Selcuk Atamanalp
  • Mehmet Ilhan Yildirgan
  • Bulent Aydinli
  • Ozkan Polat
  • Gurkan Ozturk
  • Kemal Peker
  • Omer Onbas
  • Durkaya Oren
Original Articles

Abstract

Purpose

Fournier's gangrene is a fatal synergistic infectious disease with necrotizing fasciitis of the perineum and abdominal wall along with the scrotum and penis in men and the vulva in women.

Methods

The clinical and operative records of 45 patients with Fournier's gangrene during a 14-year period were analyzed.

Results

The etiology of the infection was identified in 39 patients. The most common causes were colorectal diseases and urogenital diseases. Four patients died with an overall mortality of 8.8%. The mortality rate was higher in patients with diabetes mellitus, but it was not statistically different. The age, duration of the symptoms, and the presence of rectal abscess were not found to be significant factors regarding mortality rate.

Conclusions

Surgery with extensive debridement of all necrotic tissue is the main stay of treatment.

Key words

Fournier's gangrene Necrotizing fasciitis Prognosis 

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Copyright information

© Springer-Verlag Tokyo 2007

Authors and Affiliations

  • Mahmut Basoglu
    • 1
  • Isa Ozbey
    • 2
  • Sabri Selcuk Atamanalp
    • 1
  • Mehmet Ilhan Yildirgan
    • 1
  • Bulent Aydinli
    • 1
  • Ozkan Polat
    • 2
  • Gurkan Ozturk
    • 1
  • Kemal Peker
    • 1
  • Omer Onbas
    • 3
  • Durkaya Oren
    • 1
  1. 1.Department of General Surgery, School of MedicineAtaturk UniversityErzurumTurkey
  2. 2.Department of Urology, School of MedicineAtaturk UniversityErzurumTurkey
  3. 3.Department of Radiology, School of MedicineAtaturk UniversityErzurumTurkey

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