TY  - JOUR
AU  - Kaba Mohamed
AU  - Konaté Adama
AU  - Moussa Diakité
AU  - Camara Sayon Karifa
AU  - Keita Doubany Mariame
AU  - Diawara Albert Mohamed
AU  - Barry Thierno Illah
AU  - Konaté Lancinet
AU  - Camara Emile
AU  - Diallo Amadou
AU  - Condé Ansoumane
AU  - Kondano Saa Yao
AU  - Fofana Naby
AU  - Fofana Housseine
AU  - Touré Aboubacar
PY  - 2024
DA  - 2024/11/10
TI  - Fournier's Gangrene: Epidemiological, Clinical And Therapeutic Aspects At The General Surgery Department Of The Ignace Deen National Hospital
JO  - Surgery Research Journal
VL  - 4
IS  - 3
AB  - Introduction: The aim was to determine the epidemiological, clinical and therapeutic aspects of
Fournier's Gangrene in the General Surgery Department of the Ignace Deen National Hospital.
Patients and methods: This was a retrospective descriptive study lasting 5 years from January 1, 2018
to December 31, 2022, on the files of patients operated on for Fournier's gangrene.
Results: We collected 26 cases of Fournier's gangrene, representing a frequency of 0.5% of the reasons
for surgical interventions. The mean age was 49.08 ± 16.87 years with extremes of 26 and 77 years.
There was a male predominance of 92.3% with a sex ratio of 12. The clinical picture was dominated by
pain (100%), large scrotum (100%) and edema (80.7%). Risk factors were dominated by diabetes and
age (60 years). Medical treatment was dominated by antibiotic therapy and rehydration solutions. The
result of surgical treatment was satisfactory in 84.6% of cases, the main complication was septic shock
3 cases (11.5%), followed by anemia 1 case (3.8%), mortality was 4 cases or 15.3%.
Conclusion: Fournier's gangrene is a medical-surgical or urological emergency, it is a serious and
rare condition. The prognosis is conditioned by the early diagnosis and management of the extension of
gangrene and the often associated comorbidities.
SN  - 2768-0428
UR  - https://dx.doi.org/10.33425/2768-0428.1042
DO  - 10.33425/2768-0428.1042