Founrnier's gangrene: review of thirteen cases

ABSTRACT

Founrnier's gangrene is a synergistic necrotizing fascitis of the perineum and external genitalia. The process was belived to be idiopathic in initial descriptions. Thirteen patients were treated from Fournier's gangrene between 2000 and 2006 in the departments of surgery in El Helal and General Transport Organization hospitals. The common predisposing factors in all our cases were uncontrolled diabetes and sever anaemia. Escherichia coli and Sterptococcus aureus were identified most commonly in cultures of necrotic tissues. Our strategy in management of these cases was simultaneous control of the bad general condition of the patients with serial depridment of the necrotic tissues. Reconstructive operations to cover the raw areas were delayed till complete improvement of the medical status of the patients and till the affected areas were covered by healthy granulation tissues. There was no mortality among our cases