Abstract
Fournier’s gangrene described in 1883 by Jean Alfred Fournier, still poses ethiopathogenic, evolutive and therapeutic problems. This is a therapeutic emergency; early diagnosis, medical and surgical treatments contribute to reducing mortality rate. Tissue defect engendered by infection and/or by its excision requires morphological and functional reconstruction. The choice of the reconstruction technique depends on several parameters: early or delayed coverage, the size of the defect, the local capital skin and the patient’s general condition. Through this study involving 95 cases of scrotal and perineal gangrene treated at the National Center of Burns and Plastic Surgery of Ibn Rochd University Hospital of Casablanca over a period of 10 years (2004-2014), we report our approach in the surgical management of defect secondary to Fournier’s gangrene.
Highlights
Since its first description by Jean Alfred Fournier in 1883 under the title of fulminating gangrene of the penis [1], Fournier’s gangrene (FG) which is defined as an acute dermo-hypodermic bacterial infection necrotizing with fast and unpredictable evolution to necrosis of scrotal and perineal tissues, still poses etiopathogenic, evolutive and therapeutic problems
Through this work involving 95 cases of perineal scrotal gangrene treated at the National Center of Burns and Plastic Surgery in Ibn Rochd University Hospital of Casablanca, we report our experience and approach in the surgical management of perineal and scrotal defects secondary to Fournier’s gangrene
We noticed simple operative follow-ups in more than 80% of cases and minor postoperative complications such as suture release (5 cases), partial flap necrosis (3 cases) and partial lysis of the skin graft (2 cases) which were managed by secondary healing
Summary
Since its first description by Jean Alfred Fournier in 1883 under the title of fulminating gangrene of the penis [1], Fournier’s gangrene (FG) which is defined as an acute dermo-hypodermic bacterial infection necrotizing with fast and unpredictable evolution to necrosis of scrotal and perineal tissues, still poses etiopathogenic, evolutive and therapeutic problems. Whether primitive or secondary to uro-genital, colorectal or perineal infection, Fournier’s gangrene remains a serious affection by its local, regional and general complications. The mortality rate varies between 20% and 80% It is a therapeutic emergency; early diagnosis and appropriate treatment contribute to reducing mortality [2]. (2015) Reconstruction of Scrotal and Perineal Defects in Fournier’s Gangrene. Through this work involving 95 cases of perineal scrotal gangrene treated at the National Center of Burns and Plastic Surgery in Ibn Rochd University Hospital of Casablanca, we report our experience and approach in the surgical management of perineal and scrotal defects secondary to Fournier’s gangrene.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
