Factors Affecting the Prognosis and Outcome of Fournier's Gangrene- An Analysis from Eastern India

Abstract

Background: This study intends to prospectively analyze the data of patients presenting with Fournier's Gangrene (FG) and compare the obtained data with existing literature to find the various factors affecting the prognosis and outcome in FG.

Methods: A prospective study was conducted on 64 patients (all males) with FG who attended the Department of General Surgery, ICARE Institute of Medical Sciences And Research Haldia West Bengal, over a period of 2 year from January 2021 to December 2022.

Results: The mean age of the patients was 56.06+/-15.52 years. Genital edema and discharge were present in all cases; the scrotum was involved in all cases, followed by the perineum (n=50, 78.12%). The mean pre-hospital delay time of the patients was 5.39 ± 2.29 days (range of 2–10 days). Etiologic causes were identified in 36 patients (56.25%) rest of the cases were of idiopathic origin. Polymicrobial in 49 patients (76.56%). Primary closure of the skin and soft tissues was the most common surgical technique used for all patients. The mortality seen was 18.75%

Conclusion: In conclusion, Fournier's Gangrene is a surgical emergency. Rapid and correct diagnosis of the disease with early stabilization is of paramount importance; various factors related to patients decide the prognosis and outcomes.