The use of oxygen in Fournier's gangrene

Authors

• Michael C. Safioleas, 2nd Propedeutic Department of General Surgery, Medical School, University of Athens, Laiko General Hospital, 7 Kyprou Ave, Filothei,152 37 Athens, Greece. Tel: +30 (693) 7051824. Fax: +30 (210) 5534193. E-mail: diabahmad1{at}yahoo.gr
• Michael C. Stamatakos, 2nd Propedeutic Department of General Surgery, Medical School, University of Athens, Laiko General Hospital, Athens, Greece.
• Ahmad I. Diab, 2nd Propedeutic Department of General Surgery, Medical School, University of Athens, Laiko General Hospital, Athens, Greece.
• Panagiotis M. Safioleas, 2nd Propedeutic Department of General Surgery, Medical School, University of Athens, Laiko General Hospital, Athens, Greece.

Abstract

Fournier9s gangrene is an aggressive form of necrotizing fasciitis of the perineal, perianal or genital regions, usually caused by a polymicrobial infection that includes virulent organisms. Over the last decades, we have treated 9 patients suffering from Fournier9s gangrene using systemic chemotherapy with broad-spectrum antibiotics, and with extensive, sometimes serial surgical debridement. Recently in one case, in addition to treatment, we used locally 100% oxygen in daily doses with promising results in healing wound. Herein, we report this case with a brief review of the literature concerning pathogenesis, risk factors, and treatment approaches.

Article Type

Case Report

First Page

1748

Last Page

1750

Recommended Citation

Safioleas, Michael C.; Stamatakos, Michael C.; Diab, Ahmad I.; and Safioleas, Panagiotis M. (2006) "The use of oxygen in Fournier's gangrene," Saudi Medical Journal: Vol. 27: Iss. 11, Article 24.
DOI: https://doi.org/10.15537/1658-3175.3677