ABSTRACT

Fournier’s Gangrene is a life threatening, rapidly progressive surgical emergency with a high mortality rate even with early diagnosis and radical surgery.

To get a retrospective analysis of the patients who had wide debridement and medical treatment for Fournier’s Gangrene in our clinic.

Four patients were evaluated retrospectively who had wide debridement and medical treatment for Fournier’s Gangrene in Haydarpafla Numune Hospital, 2nd General Surgery Clinic between 2003 and 2004.

Female to male ratio was 2/2 with a mean age of 72. Sigmoid loop colostomy + wide debridement + antibiotherapy was performed to all cases. Mortality rate was 50%. Remaining two cases had closure of colostomies after 10 weeks of treatment.

Mortality rate increases when there is a delay for diagnosis and treatment in Fournier’s Gangrene. As seen in all of our patients, especially in the patients with fever, doing a thorough physical examination gives us an opportunity for early diagnosis and decreases the mortality rates.

Keywords: Fournier's Gangrene, fever, surgical therapy