Fournier's gangrene (report of 16 cases)
- VernacularTitle:Fournier坏疽的诊治(附16例报告)
- Author:
Wei WANG
;
Huixu HE
;
Weilie HU
- Publication Type:Journal Article
- Keywords:
Gangrene;
Urologic diseases;
Therapeutics;
Debridement;
Drainage
- From:
Chinese Journal of Urology
2000;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarized the management of Fournier’s gangrene. Methods This series included 16 patients with Fournier’s gangrene (all male;mean age,51 years).Of them,13 cases had scrotal gangrene and 3 had dermal gangrene of penis.Bacterial culture was performed in 14 cases and 9 were positive.All the 16 patients underwent surgical treatment including incisions,aggressive debridement,drainage,irrigation,and antibiotic therapy;of them 4 patients received hyperbaric oxygen therapy. Results Thirteen patients underwent phase Ⅱ suture and recovered.Three patients died;of them 2 died of septicemia and 1 elderly patient who had earlier developed renal dysfunction died of multi-organ failure. Conclusions Mangement of Fournier’s gangrene primarily consists of early and aggressive debridement,administration of broad-spectrum antibiotics and sufficient local drainage if available,hyperbaric oxygen therapy may be used to promote the healing of tissue wound.
