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Le traitement de la gangrène de fournier : à propos de 64 cas
Abstract
Objective: to describe and to analyze the therapeutic modalities of the gangrene of the genital rea treated in Tokoin Teaching Hospital of Lome.
Patients and Method: sixty four patients having a gangrene of the genital area and treaty of 1993 to 2008 have been taken in charge by a resuscitation followed of a necrosectomy and a diversion colic or urinary according to the cases; trianantibiotherapy, has completed the surgery. The wound dressings were done the following days either.
Results: The death rate in our set was of 28, 13%. HIV infection, diabetes, malnutrition, advanced age, ano-rectal lesions and the delay of hold in charge constituted in our set the elements of bad prognosis.
Conclusion: Gangrene of the genital area, though uncommon remain serious affection, of which the prognosis will not be improved if a diagnosed early, with an appropriated management.
Keywords: Fournier’s gangrene, necrosectomy, necrotizing fasciitis, treatment
J. Rech. Sci. Univ. Lomé (Togo), 2012, Série D, 14(1) : 119-123
Patients and Method: sixty four patients having a gangrene of the genital area and treaty of 1993 to 2008 have been taken in charge by a resuscitation followed of a necrosectomy and a diversion colic or urinary according to the cases; trianantibiotherapy, has completed the surgery. The wound dressings were done the following days either.
Results: The death rate in our set was of 28, 13%. HIV infection, diabetes, malnutrition, advanced age, ano-rectal lesions and the delay of hold in charge constituted in our set the elements of bad prognosis.
Conclusion: Gangrene of the genital area, though uncommon remain serious affection, of which the prognosis will not be improved if a diagnosed early, with an appropriated management.
Keywords: Fournier’s gangrene, necrosectomy, necrotizing fasciitis, treatment
J. Rech. Sci. Univ. Lomé (Togo), 2012, Série D, 14(1) : 119-123
