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2011, Number 4

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Acta Med 2011; 9 (4)

Fournier’s Syndrome and the use of Versajet™. Literature review with an illustrative case

Montero GPJ, Fernández RE, Luna TA

Language: Spanish
References: 50
Page: 196-203
PDF size: 325.33 Kb.


ABSTRACT

In 1883, Jean Alfred Fournier described a syndrome of gangrene in the penis and scrotum that quickly evolved into necrosis. The term necrotizing fasciitis was introduced by Wilson in 1952. There is subcutaneous vessel thrombosis, due to compromised tissue necrosis. The main causes are anorectal and genitourinary infections, gynecologic pathology and traumatic injuries. Most patients are older than 50 with comorbid conditions such as diabetes mellitus and others associated with immunosuppression. There are involved aerobic and anaerobic microorganisms which normally are of low or moderate virulence. Imaging studies most useful are the simple plate x-ray and abdominal CT. The essential treatment is the radical debridement of all affected tissues until you find healthy tissue. Debridement can be done through a hydrosurgery system that provides the surgeon a quickly and effectively cut that removes nonviable and contaminated tissue from soft tissue injuries. Mortality reported in this disease is approximately 30 to 40%.


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