ASSESSMENT OF INFLUENCE MORBIDITY AND MORALITY RATE OF FOURNIER'S GANGRENE AND ETIOLOGICAL PREDISPOPSING ASPECTS

Objective: To confirm the FG (Fournier’s Gangrene) over duration of past eight years and to evaluate the prompting aspects. Which can influence mortality rate was the main objective of this research work. Methodology: We retrospectively reviewed the anatomical spot of the infective gangrene, prompting and etiological Aspects and outcomes. Total 65 patients who got admission in the Emergency Surgical Department of Lahore General Hospital, Lahore suffering from FG were the participants of this research work. This research work started from December 2010 and lasted up to December 2018. Results: In this research study, there were total eight females and fifty seven males. Mean age of the male patients was 51.0 ± 13.90 with a range from 19 to 75 years and mean age of the females was 63.0 ± 10.50with a range of age from 52 to 76 years. Mean duration of hospitalization was 9.20 ± 6.60 with a range of age from 5 to 25 days. Most common comorbidity was DM (Diabetes Mellitus) and most common etiology was the perianal abscess. We performed colostomy in eleven patients; two patients underwent orchiectomyand cystostomy in only 2 patients. It is much important to note that all of eight patients who died because of FG were also suffering from DM and they were from low socioeconomic class. There was requirement of more than single debridement in 6 patients who died of FG. Conclusions: There is very high rate of mortality of FG, which is a serious surgical emergency. Low socioeconomic condition, DM and greater than single debridement perform main role in the rate of morbidity as well as mortality. Key Words: Surgery, outcome FG, debridement, prompting, emergency, diabetes mellitus