Fournier disease in surgeon's practice
Aliev, S.A.; Rafiev, S.F.; Rafiev, F.S.; Aliev, E.S.
Khirurgiia 11: 58-63
2008
ISSN/ISBN: 0023-1207 PMID: 19301497 Document Number: 620411
Results of treatment of fulminating scrotum gangrene (Fournier disease) in 17 patients at the age of 34-82 years are presented. Bounded (slow progressive) forms were observed in 12 patients, widespread (fulminant and rapidly progressive) forms--in 5 patients. Colorectal pathology as the most likely cause of Fournier disease was observed in 8 patients, urogenital pathology--in 7 patients. In 2 patients blunt injury (1) and gunshot wound (1) of scrotum preceded the development of Fournier disease. 5 patients suffered from diabetes mellitus differed in severity. Non-clostridial anaerobic bacteria appeared to be the main infection agents causing purulo-necrotic lesion (88.2%). Lethality amounted 29.4% (5 patients from 17 died). Authors consider that active tactics applying on the aim of surgical management in complex with early and staged necrectomy and complex system of local management of the wound, used against a background of intensive multicomponent medical correction of homeostasis disturbances, allows to improve treatment results.