Reconstruction of Soft Tissue Defects in Fournier's Gangrene
Authors/Creators
- 1. Professor, Department of Plastic Surgery, Patna Medical College and Hospital, Patna, Bihar, India
- 2. M. Ch Plastic Surgery, Department of Plastic Surgery, Patna Medical College and Hospital, Patna, Bihar, India
Description
Aim: The aim of this study is to investigate the reconstruction of soft tissue defects in Fournier’s gangrene at a tertiary care centre. Materials and Methods: The type of this study is a prospective study which was held in Patna Medical College and Hospital in Patna, Bihar, India.58 number of individuals affected with Fournier’s gangrene at a tertiary care center who underwent an initial removal of the dead skin surface for the purpose of reconstruction were selected for this study. Detailed information on the patient’s sex, age, infectious site, depth of the wound and the type of reconstruction were noted. Also, a distinct examination of the function of testes was performed at 6 months with regards to the morphology and the number of sperms. Results: Totally 58 patients affected with Fournier’s gangrene were included in this study. Among the total patients, 2 were female and the remaining 56 were males. The average age of the individuals in this study was 37 years. The predominant coexisting health condition among the patients was found to be DM in about 36 patients (62%). The wound healing was recovered by secondary intension in about 16 patients. Additionally, 14 patients have undergone scrotal advancement flap, 22 patients had undergone split thickness skin grafting (STSG) of exterior infection and hence the total rate of complication in this study was found to be 19%. Conclusion: A complete removal of the dead skin surface and initial repair of wounds are significant in the diagnosis of Fournier’s gangrene. Different types of reconstruction choices are accessible in order to assist the flap besides the grafting of skin. An important note is that all these processes aim to preserve the function of the testes for a longer period of time.
Abstract (English)
Aim: The aim of this study is to investigate the reconstruction of soft tissue defects in Fournier’s gangrene at a tertiary care centre. Materials and Methods: The type of this study is a prospective study which was held in Patna Medical College and Hospital in Patna, Bihar, India.58 number of individuals affected with Fournier’s gangrene at a tertiary care center who underwent an initial removal of the dead skin surface for the purpose of reconstruction were selected for this study. Detailed information on the patient’s sex, age, infectious site, depth of the wound and the type of reconstruction were noted. Also, a distinct examination of the function of testes was performed at 6 months with regards to the morphology and the number of sperms. Results: Totally 58 patients affected with Fournier’s gangrene were included in this study. Among the total patients, 2 were female and the remaining 56 were males. The average age of the individuals in this study was 37 years. The predominant coexisting health condition among the patients was found to be DM in about 36 patients (62%). The wound healing was recovered by secondary intension in about 16 patients. Additionally, 14 patients have undergone scrotal advancement flap, 22 patients had undergone split thickness skin grafting (STSG) of exterior infection and hence the total rate of complication in this study was found to be 19%. Conclusion: A complete removal of the dead skin surface and initial repair of wounds are significant in the diagnosis of Fournier’s gangrene. Different types of reconstruction choices are accessible in order to assist the flap besides the grafting of skin. An important note is that all these processes aim to preserve the function of the testes for a longer period of time.
Files
IJPCR,Vol15,Issue12,Article312.pdf
Files
(260.9 kB)
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Additional details
Dates
- Accepted
-
2023-12-26
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue12,Article312.pdf
- Development Status
- Active
References
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