title: Experience of 80 cases with Fournier's gangrene and "trauma" as a trigger factor in the etiopathogenesis.
abstract: BACKGROUND
  The purpose of the present study was to retrospectively analyze the patients' data presented with Fournier's gangrene (FG), to compare obtained data with the literature and to investigate the role of "trauma" in the etiopathogenesis.
  
  
  METHODS
  A retrospective study was conducted on 126 patients with FG that consulted to our department.
  
  
  RESULTS
  There were 76 male and four female patients. The mean age of the patients was 53.5±13.6 years. The most common presentation of patients was swelling (n=74). The scrotum has been shown to be the most commonly affected area in the patients (n=75). Diabetes mellitus was the leading predisposing factor and trauma was the leading responsible cause for FG. Escherichia coli was the most frequently identified microorganism (n=43, 53.75%). Primary closure was the most common technique used for all patients. Three patients exhibited a mortal course due to sepsis and multi-organ failure.
  
  
  CONCLUSIONS
  FG still has a high mortality rate. Rapid and correct diagnosis of the disease can avoid inappropriate or delayed treatment and even death of the patient. The healthcare professionals should be aware that any trauma in the perineal region could lead to FG.
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Erciyes University Faculty of Medicine, Kayseri, Turkey.
authors.forename: Teoman
authors.initials: T
authors.lastname: Eskitaşcıoğlu
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Erciyes University Faculty of Medicine, Kayseri, Turkey.
authors.forename: Irfan
authors.initials: I
authors.lastname: Özyazgan
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Erciyes University Faculty of Medicine, Kayseri, Turkey.
authors.forename: Atilla
authors.initials: A
authors.lastname: Coruh
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Erciyes University Faculty of Medicine, Kayseri, Turkey.
authors.forename: Galip K
authors.initials: GK
authors.lastname: Günay
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Erciyes University Faculty of Medicine, Kayseri, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Altıparmak
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Erciyes University Faculty of Medicine, Kayseri, Turkey.
authors.forename: Yalcin
authors.initials: Y
authors.lastname: Yontar
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Erciyes University Faculty of Medicine, Kayseri, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Doğan
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D018934:Fournier Gangrene / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D005837:Genitalia, Male / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D014421:Turkey / Q000453:epidemiology; D055815:Young Adult