Fournier Gangrený: 10 Olguluk Deneyimimiz

Foumier Gangreni {FG), genital ve perineal dokularýn, nispeten nadir, mikst aerobik ve anaerobik enfeksiyonudur. Kliniðimizde 1994-2000 tarihleri arasýnda, FG tanýsý konulan 10 hasta retrospektif olarak deðerlendirildi. Ortalama yaþý 59.7(34-83) yýl olan olgularýmýzýn hepsi erkekti. Hastalýðýn en sýk rastlandýðý yer perineo-skrotal alan (7 hasta, %70), en sýk yandaþ hastalýk ise Diabetcs Mellitus (7 hasta, %70)idi. Nckrotik dokularýn cerrahi debridman], geniþ spektrumlu antibiyotik tedavisi ve mitrisyoncl destek bütün hastalara uygulanýrken, yara defcklini onarmak için ikinci seansta rekonstrüktif cerrahi giriþim iki hastaya ve hiperbarik oksijen tedavisi (HBO) bir hastaya ilave edilmiþtir. Mortalitýe oraný %10 (I hasta) bulunmuþtur. Erken teþhis'e, geniþ spektrumlu uygun antibiyotiklere, cerrahi debritman uygulamalarý, nütrisyonel destek ve HBO tedavisine raðmen, FG hala yüksek morbidite ve mortalite oranlarýna sahiptir.

Fournier's Gangrene

Fournier's Gangrene (FG) Ýs a relattvely rare, mixed aerobic and anaerobie infection of genital and perinea! tissues. in our elinic between 1994-2000 ycars, 10 cases with diagnosis of FG w er e evaluated retrospeetively. Ali wcre males with a mean age of 59.7 (34-83), The most common sites of origin of infection vvere perineo-serotal arca (7 patients, 70%) and the most common concomitunt disease was Diabetes Mellitus (7 palients, 70%). W hile debridement of necrotîc tissue, wide speetrum antibiotic therapy and nutritional support were pcrfonncd to ali patients, the rcconstructive surgical intervention in order to repair the wound defect in a second session for lwo patients and hypcrbaric oxygen therapy(HBO) for one patient vvere added to the tlýerapy. Ilýt mortality rale was 10% (1 patient). Dcspite of early diagnosis, appropiate wide speetrum antibiotics, surgical debridement manupulations, nutritional support and HBO, FG stili has hisli morbidity and mortality rates.