TITLE:
Kati Chu BSS External Genital Organ Delivery Syndrome: Inguinal Pedicle Flap Plasty
AUTHORS:
Koniba Keita, Sidiki Keita, Oulematou Coulibaly, Abdoulaye Diarra, Fodé Mory Keita, Boubacar Kone, Lassina Traoré, Salia Coulibaly, Amadou Traoré, Assitan Kone, Amadou Kassogué, Issa Traoré, Oumou Traoré, Ismael Konaré, Daouda Diallo, Drissa Traoré, Bacary T. Dembélé
KEYWORDS:
Fournier’s Gangrene, Scrotum, Inguinal Pedicular Flap
JOURNAL NAME:
Surgical Science,
Vol.12 No.11,
November
25,
2021
ABSTRACT: Fournier’s syndrome
is a poly microbial necrotizing fasciitis, of severe evolution of the perineum and
external genitals. Objectives: We report the experience
of the service in the management of Fournier gangrene of the external genital organs
by inguinal flap pediculated in front of the loss of significant substances of the
scrotum. Patients and method:
This was a mono-centric retrospective study from January 2008 to August 2021 in
the General Surgery Department of the Bocar Sidi Sall University Hospital (CHU BSS)
in Kati. It focused on patients treated for Fournier gangrene of external genitals. The variables studied were age, sex, blood count, germs
encountered, the antibiogram, duration of evolution, reconstruction of the scrotum
by pedicle flap, and morbidity. Results: During
the study period we collected 5 cases of Fournier gangrene of external genitals
in the service. The average age was 57.6 years and all the patients were male. The
average duration of evolution was 5 days for an average age of 57.6 years. All patients
were male. Echerichia coli (E. coli) was the frequently observed germ followed by Enterobacter fécalis (E. fecalis). They were resistant to the usual antibiotics. The germs
were 100% sensitive to imipeneme and
nitrofurantoin, 70% to gentamycin. The wide necrosectomy followed 3 weeks later
by the inguinal flap pedicular plasty greatly improved the surgical procedures.
Conclusion: Fournier’s syndrome is a medical surgical emergency whose prognosis
is strongly related to early management.