Fournier's Gangrene: From Diagnosis to Reconstruction

ABSTRACT

Fournier gangrene (FG) is an acute and potentially fatal infection of the scrotum, perineum, and abdominal wall. It is characterized by necrotizing fasciitis with loss of subcutaneous tissue and skin. Althoughoriginally thought to be an idiopathic process, FG has been shown to have a predilection for patients with diabetes as well as long-term alcohol misuse; however, it can also affect patients with non‐obvious immune compromise. Twenty patients were admittedto our hospital with the diagnosis of Fournier gangrene, between 1 January 2011 to January 2013.The epidemiological characteristics, evolution and treatment modalities were reviewed. Early surgical debridement of necrotic tissues and antibiotics are fundamental in the treatment of FG. Scrotal reconstruction with skin grafts or flaps is fundamental to improve the quality of life and provides social reinsertion.Keywords Fournier's gangrene; defect reconstruction; perineoscrotal defect; epidemiology.Original Research Article