Necrotizing Fasciitis of the Perineum and the Abdominal Wall-Surgical Approach

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Karl-Wilhelm EckerJohannes Frank

Abstract

Necrotizing fasciitis is a synergistic aerobical-anaerobical infection that rapidly spreads from its origin leading to foudroyant increasing soft tissue gangrene and systemic sepsis. In the perineal, perianal and genital regions it is referred to as Fournier's gangrene constituting a clinical entity with the gangrene of the abdominal wall. After a short presentation of the own experience with 17 patients the surgical approach to the life-threatening disease is presented reviewing the former and the recent literature. There is a worldwide consensus that immediate radical excision of the gangrene should be accompanied by intensive care measures. Functional and cosmetic defects are to be reconstructed in a second stage. However, morbidity and mortality remain high in spite of consequent treatment due to often associated significant co-morbidity of affected patients.

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Citations

Apr 1, 2011·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·A García MarínF Turégano Fuentes
Jun 1, 2008·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·UNKNOWN John Barker, Section Editor, UNKNOWN Ingo Marzi, Editor
Mar 22, 2012·Urologia Internationalis·Silvio AltaracNuhi Arslani
Aug 31, 2017·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Carlos Eugênio Lira TenórioFlávio Teles

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