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. 2005 Dec;75(12):1055-8.
doi: 10.1111/j.1445-2197.2005.03609.x.

Fournier's gangrene: a retrospective clinical study on forty-one patients

Fadil Ayan  1 , Oguzhan Sunamak, Sabri M Paksoy, Semra S Polat, Abdullah As, Nevin Sakoglu, Oguz Cetinkale, Feridun Sirin
Affiliations

Fournier's gangrene: a retrospective clinical study on forty-one patients

Fadil Ayan et al. ANZ J Surg. 2005 Dec.

Abstract

Background: Fournier's gangrene, first described by Dr Jean Alfred Fournier in 1883, still has a high mortality rate. The prognosis and outcome of such patients were analysed.

Methods: Forty-one patients with Fournier's gangrene were reviewed on the parameters of age, sex, aetiological agents, predisposing factors, treatment modalities and outcomes.

Results: Although early intervention and careful treatment was carried out, nine of 41 patients (21.9%) died as a result of complications of septicemia. Among the treatment modalities, there were extensive debridement, drainage, excisions of the skin and fascia, colostomy procedure, extensive antibiotic treatment and hyperbaric oxygen therapy. Although a combination of different treatment modalities were used, the mortality rate was 21.9%.

Conclusions: Fournier's gangrene is still a severe disease. Today, hyperbaric oxygen treatment is very effective in the treatment of this disease.

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