31Dec 2016

FOURNIER’S GANGRENE : APPROACHES TO DIAGNOSIS AND TREATMENT OF BANGLADESHI PATIENTS.

  • MBBS FCPS (Surgery) MPH (Hosp. Admin.) FMAS (Lap. Surgery) PhD research fellow (BUP).
  • MBBS MS (Surgery).
  • MBBS FCPS (Surgery).
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Fournier’s gangrene is a rare, rapidly progressive, necrotizing fasciitis of the external genitalia and perineum. The main aim of this study was to observe comprehensively the disease profile of Fournier’s gangrene, with a specific intent to observe the proportion of patient present with Fournier’s gangrene. Methods: Initially all the patients were enrolled by purposive sampling from the admitted patients of department of surgery of Chittagong Medical College Hospital and Sir Salimullah Medical College and Mitford Hospital. Thereafter they were finalized according to the eligibility criteria. 22 patients were finalized. Patients were thoroughly evaluated and managed and during management data regarding demographic, clinical and biochemical as well as treatment profiles were recorded. Data were managed, edited and plotted in tabular and figure form. Mean ±SD was determined. Data analysis was done by chi square test. p value was significant at <0.05. Results: The mean age of the patients was 43.9 ±14.82 years. 68.2% patients showed insiduous onset whereas 31.8% showed abrupt onset. Both cutaneous and anorectal factors claimed the highest 36.4% of etiology. Pain (100%) and edema (100%) were the prime manifestations. In 59% cases testes were not exposed but in rest 41% cases testes were exposed. In case of 36.4% cases only scrotum was involved whereas in case of 22.7% cases both scrotum and perineum were involved. After provision of aggressive treatment in 72.7% cases no complication was observed. 9.1% of total patients expired during treatment and rest patients ultimately survived. Conclusion: Elderly and low economic profile people are frequently affected. To reduce the significant morbidity and mortality aggressive medical and surgical management is mandatory.


[Avisak Bhattacharjee, Md. Ashrafuzzaman and Md. Mahbubur Rahman. (2016); FOURNIER’S GANGRENE : APPROACHES TO DIAGNOSIS AND TREATMENT OF BANGLADESHI PATIENTS. Int. J. of Adv. Res. 4 (Dec). 2055-2064] (ISSN 2320-5407). www.journalijar.com


Dr. Avisak Bhattacharjee’


DOI:


Article DOI: 10.21474/IJAR01/2621      
DOI URL: http://dx.doi.org/10.21474/IJAR01/2621