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 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.
Okeke
L I
LI
Department of Surgery, University College Hospital, Ibadan, Nigeria. okeke@skannet.com
D000328:Adult; D017677:Age Distribution; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001494:Baths; D015984:Causality; D003131:Combined Modality Therapy; D003646:Debridement; D018934:Fournier Gangrene / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D009549:Nigeria / Q000453:epidemiology; D013536:Suture Techniques; D016896:Treatment Outcome; D014504:Urban Health / Q000706:statistics & numerical data; D014945:Wound Healing
D000900:Anti-Bacterial Agents