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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Perineal-scrotal gangrene: Epidemiological and therapeutic aspects. About 45 cases
Annales de Chirurgie Plastique Esthetique, Volume 58, No. 4, Year 2013
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Description
Perineoscrotal gangrene is an acute disease, a rare and severe affection of the perineum, whose evolution is unpredictable and rapidly extensive. The diagnosis is clinical. The paraclinical examinations allow early diagnosis and assessment of anatomical and biological repercussions. We conducted a retrospective study of 45 patients spread over six years, involving a multidisciplinary team consisting of three specialists (urologists, visceral, plastic surgeons). The average age was 52. years. The largely male dominated our series. Fournier gangrene was the most common etiology. We noted five cases of death (11%) in the acute phase, secondary to septic shock (four patients) or multiple organ failure (one patient). The evolution was favorable in 40 other patients in the series, requiring an initial management in intensive care unit, and surgical treatment. The average hospital stay was 17. days. After the acute phase, all patients underwent a surgery for skin coverage, ranging from guided healing (two patients) to musculocutaneous flap of the gracilis (six patients) via the secondary suture (four patients), the burying the testes (18 patients) and half thick skin graft, with a functional and aesthetic result was acceptable, and minimal sequelae. In our series, the most predictive pronostic factors would be the delay of care, sepsis on admission and associated deseases. © 2011 Elsevier Masson SAS.
Authors & Co-Authors
Ettalbi, Saloua
Morocco, Marakech
Faculté de Médecine et de Pharmacie de Marrakech
Benchamkha, Yassine
Morocco, Marakech
Faculté de Médecine et de Pharmacie de Marrakech
Boukind, Samira
Morocco, Marakech
Faculté de Médecine et de Pharmacie de Marrakech
Droussi, Hatim
Morocco, Marakech
Faculté de Médecine et de Pharmacie de Marrakech
Ouahbi, Safa
Morocco, Marakech
Faculté de Médecine et de Pharmacie de Marrakech
Soussou, M.
Morocco, Marakech
Faculté de Médecine et de Pharmacie de Marrakech
Elatiqi, Kelthoum
Morocco, Marakech
Faculté de Médecine et de Pharmacie de Marrakech
Lakmichi, Mohamed Amine
Morocco, Marakech
Chu Mohammed-vi
Dahami, Zacharia
Morocco, Marakech
Chu Mohammed-vi
Moudouni, Saïd Mohamed
Morocco, Marakech
Chu Mohammed-vi
Sarf, Ismaïl
Morocco, Marakech
Chu Mohammed-vi
Rabbani, Khalid
Morocco, Marakech
Chu Mohammed-vi
Louzi, Abdelouahed
Morocco, Marakech
Chu Mohammed-vi
Benelkhaiat, Radouane B.
Morocco, Marakech
Chu Mohammed-vi
Finech, Benacer
Morocco, Marakech
Chu Mohammed-vi
Statistics
Citations: 15
Authors: 15
Affiliations: 2
Identifiers
Doi:
10.1016/j.anplas.2011.02.002
e-ISSN:
1768319X
Research Areas
Health System And Policy
Study Design
Cohort Study
Participants Gender
Male