Five years experience of Fournier's gangrene emergency treatment of 12 cases in single centre

VernacularTitle:Fournier坏疽急诊治疗12例的5年经验报道
Author: Yichen ZHU ; Yuwen GUO ; Lei ZHANG ; Jian ZHANG ; Ye TIAN
Publication Type:Journal Article
Keywords: Fournier gangrene; Mortality; Combined modality therapy; Prognosis
From: International Journal of Surgery 2013;40(11):743-745
CountryChina
Language:Chinese
Abstract: Objecitve To conclude the clinical manifestation of Fournier's gangrene (FG) and its emergency treatment.Methods From 2006 to 201 1,12 patient were involved in the study,all had received debridement,wide spectrum antibiotics and support therapy,the clinical manifestation,treatment choice and prognosis were analyzed retrospectively.Results All patients were male with 67.7 year-old mean age.Initial lesions were all in scrotal skin,an average procedures of each patient was 3.5,mean hospitalization days was 29.7 days.Surgical wound was healed by left scrotal skin in all cases,2 cases with huge urethra defect were received perineostomy.Ten cases were survived with 57-months follow-up and mortality was 16.7％.Conclusions Fournier is one of emergency disease of Urology.Its mortality is still high.Intensive care and appropriate anti-biotic therapy combined with surgical treatment is the key of FG's management.