Fournier's gangrene in Ibadan

Twenty six patients with Fourniers gangrene seen over an 8 year period at the University College Hospital Ibadan are presented. Their ages ranged from 34 years to 70 years with a mean of 52.5 years. Possible predisposing conditions were present in 17 (65%) patients. The anterior scrotal skin alone w...

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Bibliographic Details
Published inAfrican journal of medicine and medical sciences Vol. 29; no. 3-4; p. 323
Main Author Okeke, L I
Format Journal Article
LanguageEnglish
Published Nigeria 01.09.2000
Subjects
Adult
Age Distribution
Aged
Anti-Bacterial Agents - therapeutic use
Baths
Causality
Combined Modality Therapy
Debridement
Fournier Gangrene - diagnosis
Fournier Gangrene - epidemiology
Fournier Gangrene - etiology
Fournier Gangrene - therapy
Humans
Length of Stay - statistics & numerical data
Longitudinal Studies
Male
Middle Aged
Necrosis
Nigeria - epidemiology
Suture Techniques
Treatment Outcome
Urban Health - statistics & numerical data
Wound Healing
Nigeria
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Summary:Twenty six patients with Fourniers gangrene seen over an 8 year period at the University College Hospital Ibadan are presented. Their ages ranged from 34 years to 70 years with a mean of 52.5 years. Possible predisposing conditions were present in 17 (65%) patients. The anterior scrotal skin alone was most commonly involved. They were treated with systemic antibiotics, wound debridement and sitz baths. While the wound healed spontaneously on this regimen in 6 (23%) patients, 19 (73%) patients required suture closure of their clean granulating wounds. None required rotational skin flap scrotoplasty and no deaths occured. It is stressed that because of the independent arterial supply and venous drainage of the testes, even when the entire scrotum has sloughed, orchidectomy should never be considered a management option.
ISSN:0309-3913