ABSTRACT
Fournier's gangrene is relatively a rare surgical disease. It is a type of necrotizing fascitis involving the genito-perineal region. Both aerobic and anaerobic pathogens lie behind the pathogenesis. In his original description J.A. Fournier thought that it is an idiopathic disease without any obvious etiology. Many controversial issues exist about the pathogenesis and treatment of the disease. To investigate the possible correlation between the clinical outcomes [hospital stay, morbidity, mortality] and the early wound closure. Retrospective analysis was done from 1997-2000, in Al-Kindy Teaching Hospital. Eleven cases were included, with variable age and sex. Several predisposing and triggering factors for the disease were found in our work. Different techniques of surgical treatment were used in wound closure after initial resuscitation and frequent mini debridements, in order to close the defect as early as possible. The outcome of our study, despite different surgical procedures used to close the wounds, was encouraging. Hospital stay, morbidity and mortality were reduced in comparison with other studies. We found that the earlier the wound was closed; a shorter hospital stay, and less morbidity and mortality could be achieved