title: Fournier's gangrene: a retrospective clinical study on forty-one patients.
abstract: BACKGROUND
  Fournier's gangrene, first described by Dr Jean Alfred Fournier in 1883, still has a high mortality rate. The prognosis and outcome of such patients were analysed.
  
  
  METHODS
  Forty-one patients with Fournier's gangrene were reviewed on the parameters of age, sex, aetiological agents, predisposing factors, treatment modalities and outcomes.
  
  
  RESULTS
  Although early intervention and careful treatment was carried out, nine of 41 patients (21.9%) died as a result of complications of septicemia. Among the treatment modalities, there were extensive debridement, drainage, excisions of the skin and fascia, colostomy procedure, extensive antibiotic treatment and hyperbaric oxygen therapy. Although a combination of different treatment modalities were used, the mortality rate was 21.9%.
  
  
  CONCLUSIONS
  Fournier's gangrene is still a severe disease. Today, hyperbaric oxygen treatment is very effective in the treatment of this disease.
authors.affiliation: Department of General Surgery, Cerrahpasa Medical School, Istanbul, Turkey.
authors.forename: Fadil
authors.initials: F
authors.lastname: Ayan
authors.forename: Oguzhan
authors.initials: O
authors.lastname: Sunamak
authors.forename: Sabri M
authors.initials: SM
authors.lastname: Paksoy
authors.forename: Semra S
authors.initials: SS
authors.lastname: Polat
authors.forename: Abdullah
authors.initials: A
authors.lastname: As
authors.forename: Nevin
authors.initials: N
authors.lastname: Sakoglu
authors.forename: Oguz
authors.initials: O
authors.lastname: Cetinkale
authors.forename: Feridun
authors.initials: F
authors.lastname: Sirin
mesh_terms: D000328:Adult; D000368:Aged; D003646:Debridement; D018934:Fournier Gangrene / Q000209:etiology / Q000601:surgery*; D005832:Genital Diseases, Male / Q000601:surgery*; D006801:Humans; D006920:Hygiene; D006931:Hyperbaric Oxygenation; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012611:Scrotum / Q000601:surgery