{"id":125,"date":"2022-02-10T04:35:41","date_gmt":"2022-02-09T23:05:41","guid":{"rendered":"https:\/\/dramitajain.com\/blog\/?p=125"},"modified":"2022-10-20T15:35:36","modified_gmt":"2022-10-20T10:05:36","slug":"fourniers-gangrene-a-flesh-eating-infection-in-external-genitalia","status":"publish","type":"post","link":"https:\/\/www.dramitajain.com\/blog\/2022\/02\/10\/fourniers-gangrene-a-flesh-eating-infection-in-external-genitalia\/","title":{"rendered":"Fournier&#8217;s Gangrene, a Potentially Fatal Infection in External Genitalia"},"content":{"rendered":"\n<h2 class=\"has-text-align-left wp-block-heading\" id=\"explained-by-eminent-surgeon-dr-amita-jain\"><em>Explained by Eminent Surgeon Dr Amita Jain<\/em><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Fournier&#8217;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.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Most of the cases of scrotal raw area are seen as a result of diabetic patients who develop Fournier\u2019s gangrene and require radical debridement. Fournier\u2019s gangrene is usually a consequence of a polymicrobial infection with E.coli (aerobic), bacteriods (anaerobic) and streptococci (aerobic and anaerobic).<strong><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">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.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">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.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">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.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/dramitajain.com\/\" target=\"_blank\" rel=\"noreferrer noopener\" title=\"India\u2019s renowned laparoscopic surgeon, Professor of Surgery and Indian Army\u2019s first lady trauma surgeon, Dr Amita Jain\">India\u2019s renowned laparoscopic surgeon, Professor of Surgery and Indian Army\u2019s first lady trauma surgeon, Dr Amita Jain<\/a> in her research journal, titled, \u201c<strong><em>Effectiveness of Singapore flap for Perineal Reconstruction of a Fournier\u2019s Gangrene in a Tertiary Care Hospital\u201d<\/em><\/strong><em> \u2013 <\/em>shares an extended detail on effective use of Singapore flaps to cure Fournier\u2019s Gangrene with medical case studies.  Check Dr Amita Jain&#8217;s publication on Fournier&#8217;s Gangrene here: <a href=\"https:\/\/www.researchgate.net\/publication\/330185214_EFFECTIVENESS_OF_SINGAPORE_FLAP_FOR_PERINEAL_RECONSTRUCTION_OF_A_FOURNIER'S_GANGRENE_IN_A_TERTIARY_CARE_HOSPITAL\" target=\"_blank\" rel=\"noreferrer noopener\" title=\"Dr Amita Jain Researchgate\">https:\/\/www.researchgate.net\/publication\/330185214_EFFECTIVENESS_OF_SINGAPORE_FLAP_FOR_PERINEAL_RECONSTRUCTION_OF_A_FOURNIER&#8217;S_GANGRENE_IN_A_TERTIARY_CARE_HOSPITAL<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Explained by Eminent Surgeon Dr Amita Jain Fournier&#8217;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 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":129,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[59],"tags":[40,69,76,5,73],"class_list":["post-125","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-best-female-surgeon-in-delhi","tag-best-female-surgeon-in-delhi","tag-best-hernia-doctor-in-delhi","tag-best-laparoscopy-surgeon-in-india","tag-best-surgeon-for-hernia-in-delhi","tag-dr-amita-jain-best-doctor-in-delhi"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.8 - aioseo.com -->\n\t<meta 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