European Journal of Cardiovascular Medicine

Introduction: Fournier’s gangrene is an extensive necrotizing soft tissue infection of the perineum affecting the skin, soft tissues, and muscles. Early diagnosis remains imperative as rapid progression of the gangrene can lead to multiorgan failure and death. Treatment of Fournier’s gangrene entails treating sepsis, stabilizing medical parameters, and urgent surgical debridement. The present study was conducted to study the surgical outcome in operated cases of Fournier’s gangrene in the department of general surgery at a tertiary care centre. Methods: The present prospective clinical observational study was carried out on 62 patients with gangrene of the genitalia and perineum who came to the Department of general surgery in a tertiary care centre from October 2019 to October 2021. The diagnosis of Fournier’s gangrene was established clinically based on presenting history and physical examination and supported by investigations.  Results: 40.32% of patients were in the age group above 60 years. There was a male preponderance with 24.59% morbidity. Scrotal swelling was the most common presenting complaint in 60 patients (96.77%). 45.16% of patients presented within 7 days and had a morbidity of 28.57% with no mortality. 77.41% etiological factor of FG was idiopathic.  Diabetes Mellitus (27.41%), chronic alcoholism (22.58%), and smoking 17.74%), were the commonly observed comorbid condition. Testicular repositioning with secondary suturing was done in 65.38% of patients. Conclusion: Early stabilization of hemodynamic status and immediate debridement of whole necrotic tissues with appropriate antibiotic cover will certainly reduce the risk of morbidity. The presence of diabetes, advanced age, delayed presentation, and systemic sepsis on admission are individual risk factors described to predict mortality.