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 female surgeons, known for her unmatched expertise in general and laparoscopic surgery. With over 29 years of surgical excellence, Dr Amita Jain has built a reputation for precision, compassionate care, and advanced surgical techniques.
Dr Amita Jain has successfully performed a wide range of complex general surgeries, including both open and minimally invasive procedures, with a strong focus on trauma care, onco-surgical techniques, and reconstructive surgeries. Her areas of specialisation include (including Gallbladder stone removal, appendix removal, hernia repair surgery, piles and fissure surgeries). She was the Professor of Surgery at the Army College of Medical Sciences and Base Hospital, Delhi Cantt. In 1994, she was commissioned asa Surgeon under the United Nations Mission in Congo. From 2020 to 2022, she worked with Bansals Hospital. Currently, Dr Amita Jain is the Senior General and Laparoscopic Surgeon at Rainbow Children Hospitals (Malviya Nagar, Delhi), Artemis Lite: Multi-Speciality Care Hospital (New Friends Colony, New Delhi) and at Rosewalk – Luxury Maternity Hospital in Delhi (Panchsheel Park, Delhi)
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