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Material and methods:
Early recognition, timed presentation followed by aggressive resuscitation, proper intravenous
antibiotics as well as extensive multiple debridments are significant factors to affect the outcome in the
surgical treatment of Fournier's gangrene.
All 15 patients were males with an age range of 41-65 years (mean: 52.46 years). According to
their medical record concomitant weakening illnesses like diabetes mellitus, malnutrition, malignancy and
immunosuppression were common risk factors. Six (40%) patients who survived and 3 (20%) patients who
died had at least one of the aforementioned co morbid conditions. The most frequent co morbid condition
was diabetes mellitus affecting 5 (33.33%) patients. E.coli, hemolytic streptococci and staphylococcus
aureus were the common pathogens isolated. After admission they were resuscitated, parenteral broadspectrum
antibiotics were started and extensive multiple debridments were done. Hospital stay ranged from
9 to 35 days with a mean hospital stay of 21.66 days. Mortality rate was 3 (20%) patients.
This retrospective study evaluated 15 patients with Fournier's gangrene who had
been managed in the Surgical Department of Khyber Teaching Hospital from July 2005 to June 2006.
Their medical records were thoroughly studied. Study variables like co morbidities/risk factors, clinical
features and surgical procedures were analyzed to determine their influence on the outcome.
: To report the outcome of surgical management of Fournier's gangrene.
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