Fournier’s Gangrene: An Approach to Its Management

Abstract
Treatment of Fournier''s gangrene (necrotizing fasciitis of the male genitalia) traditionally has involved extensive debridement in concert with broad-spectrum antibiotic administration. Management of 4 patients with Fournier''s gangrene indicates that limited debridement with placement of through-and-through drains may provide a good result, with far less tissue loss. After surgery and prompt, individualized antibiotic treatment the patients showed rapid improvement in their over-all condition with a brisk defervescence and normalization of leukocytosis. Granulation of the wounds progressed rapidly without secondary infection. In 2 of the 4 patients some skin grafting was required but the areas involved were quite small.

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