Explained by Eminent Surgeon Dr Amita Jain
Fournier’s gangrene is an acute, rapidly progressive, and potentially fatal, infective necrotizing fasciitis affecting the external genitalia, perineal or perianal regions, which commonly affects men, but can also occur in women and children. Scrotal raw areas are a source of morbidity and of great concern to the patients inflicted with this problem.
Most of the cases of scrotal raw area are seen as a result of diabetic patients who develop Fournier’s gangrene and require radical debridement. Fournier’s gangrene is usually a consequence of a polymicrobial infection with E.coli (aerobic), bacteriods (anaerobic) and streptococci (aerobic and anaerobic).
Fournier syndrome was described in 1883 by Jean Alfred Fournier-a French dermatologist specializing in venereal diseases-as a rapidly progressing infection of the perineum and the abdominal wall that extends to the scrotum and penis through the dartos fascia.
The etiology of this disease is controversial. Fournier originally reported cases with no known etiology. Currently, approximately 25% of the cases still remain idiopathic, although there are many predisposing factors, such as diabetes mellitus and paraphimosis.
Triple antibiotic combined with radical debridement is the mainstay of treatment. There have been many advances in the management of Fournier gangrene including the use of vacuum-assisted closure and hyperbaric oxygen therapy. Bilateral pudendal thigh flaps (Singapore flaps) is now giving promising result in such cases.
India’s renowned laparoscopic surgeon, Professor of Surgery and Indian Army’s first lady trauma surgeon, Dr Amita Jain in her research journal, titled, “Effectiveness of Singapore flap for Perineal Reconstruction of a Fournier’s Gangrene in a Tertiary Care Hospital” – shares an extended detail on effective use of Singapore flaps to cure Fournier’s Gangrene with medical case studies. Check Dr Amita Jain’s publication on Fournier’s Gangrene here: https://www.researchgate.net/publication/330185214_EFFECTIVENESS_OF_SINGAPORE_FLAP_FOR_PERINEAL_RECONSTRUCTION_OF_A_FOURNIER’S_GANGRENE_IN_A_TERTIARY_CARE_HOSPITAL
Dr Amita Jain is one of India’s most distinguished and experienced senior surgeons who has conducted more than 1,00,000 successful surgeries, and has covered a wide spectrum of general and minimally invasive procedures. Dr Amita Jain is refered as the pioneer surgeon in the fields of Gallbladder stone removal surgery, appendix removal surgery, hernia repair surgery, Pilonidal Sinus treatments, varicose vein and piles surgery, fistula surgery and fissure surgeries.
With an outstanding career spanning over 29 years, Dr Amita Jain has earned her place among the top General and Laparoscopic surgeons in Delhi and India, known for her precision, compassion, and consistent surgical excellence. She was the Professor of Surgery at the Army College of Medical Sciences and Base Hospital, Delhi Cantt. In 1994, she was commissioned as a surgeon under the United Nations Mission in Congo.
Dr Amita Jain currently serves as the Head of Department and Senior Consultant for General, Laparoscopic and Trauma Surgery at Artemis Lite Hospital, Rosewalk – Luxury Maternity Hospital in Delhi (Panchsheel Park, Delhi) and Rainbow Children Hospitals (Malviya Nagar, Delhi).