Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles

Open Access


Gulhane Med J. 2005; 47(1): 034-039

Value of Hiperbaric Oxygen Treatment in The Management of Patients with Fournier's Gangrene

Dr. Gökhan YAĞCI1, Dr. Nazif ZEYBEK1, Dr. Semih GÖRGÜLÜ1, Dr. Ramazan YILDIZ1, Dr. Kadir DÜNDARr2, Dr. Abdurrahman ŞİMŞEK1, Dr. Sadettin ÇETİNER1, Dr. Derviş ŞEN1.

Background: Fournier's gangrene is synergistic necrotizing fasciitis of the perineum, perianal region and genitalia commonly originated from colorectal and genitourinary pathologies. Late diagnosis and insufficient treatment modalities might end in failure with high morbidity and mortality. Hyperbaric oxygen which enhances tissue growth and viability has been available as an adjunctive treatment modality. Patients and Methods: Medical charts of 15 patients with Fournier's Gangrene who were hospitalized in the Department of Surgery between 1998-2003, were retrospectively analyzed. Four patients were females and 11 patients were males with a mean age of 55.9 (40-78). Hyperbaric oxygen was applied to 9 patients as an adjuvant therapy. Treatment results and factors effecting the morbidity and mortality were evaluated. Results: The most prominent pathology which caused Fournier's Gangrene was perianal abscess in 9 patients (60 %), ischiorectal abscess in 2 patients (13%), scrotal folliculitis in 2 patients (13%), haemoroidectomy in 1 patient (7%) and cystoscopy in 1 patient (7%). Diversion colostomy was performed in 6 cases (% 40). The overall mortality rates were 40 % in all patients, 66.6 % in patients who did not receive hyperbaric oxygen treatment while adjuvant hyperbaric oxygen treatment resulted with 22.2 % mortality rates. Conclusion: Early diagnosis and wide excision of necrotic tissue with wide spectrum antibiotherapy are the main treatment modalities in the management of patients with Fournier's Gangrene. Diverting colostomy should be applied in the presence of anal sphincter insufficiency and rectal perforation or fistula in order to prevent the fecal contamination. Although the number of patients is small, hyperbaric oxygen as an adjuvant treatment seems to have favorable effects on morbidity and mortality.

Key words: 'Fournier's Gangrene; Necrotizing Fasciitis; Hyperbaric Oxygen'

Share this Article

American Journal of Preventive Medicine and Public Health


ScopeMed Home
Follow ScopeMed on Twitter
Article Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Suggest a Journal
Publisher Login
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright © ScopeMed® Information Services.
Scopemed Buttons