FOURNIER’S GANGRENE- CURRENT CONCEPTS IN MANAGEMENT AND LITERATURE REVIEW

Abstract

Background: Fournier’s gangrene is a rapidly progressive necrotizing soft tissue infection involving the perineal, genital, and perianal regions. It predominantly affects middle-aged men with comorbidities such as diabetes mellitus and is associated with significant morbidity and mortality.

Methods: The publication presents a review supplemented by current literature, highlighting evolving clinical presentations, diagnostic scoring systems and multidisciplinary management strategy.

Results: Early diagnosis, aggressive resuscitation, prompt surgical debridement, and broad-spectrum antibiotic therapy remain the cornerstones of management. Adjunctive modalities such as negative pressure wound therapy, hyperbaric oxygen therapy and reconstructive procedures contribute to improved outcomes.

Conclusion: Fournier’s gangrene remains a life-threatening surgical emergency. Timely intervention and a multidisciplinary approach are critical in reducing mortality and improving functional recovery.