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Dutta et al. Plast Aesthet Res 2018;5:20 Plastic and
DOI: 10.20517/2347-9264.2018.19 Aesthetic Research

Case Report Open Access

Role of newer technologies in wound bed
preparation in Fournier's gangrene

Souradeep Dutta, Abhinav Aggarwal, Ravi Kumar Chittoria, Elankumar Subbarayan, Vinayak Chavan,
Konda Sireesha Reddy, Saurabh Gupta, Chirra Likhitha Reddy

Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry 605006, India.

Correspondence to: Prof. Ravi Kumar Chittoria, Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education
and Research, Quarter number 7, Type V-A, Block no 4, Link Road, Pondicherry 605006, India. E-mail: drchittoria@yahoo.com
How to cite this article: Dutta S, Aggarwal A, Chittoria RK, Subbarayan E, Chavan V, Reddy KS, Gupta S, Reddy CL. Role of newer
technologies in wound bed preparation in Fournier's gangrene. Plast Aesthet Res 2018;5:20.
http://dx.doi.org/10.20517/2347-9264.2018.19
Received: 3 Apr 2018 First Decision: 16 May 2018 Revised: 11 Jun 2018 Accepted: 11 Jun 2018 Published: 28 Jun 2018

Science Editor: Raúl González-García Copy Editor: Jun-Yao Li Production Editor: Huan-Liang Wu

Abstract

Fournier's gangrene or necrotizing fasciitis of the perineum scrotum and penis is a highly debilitating condition with a high
mortality rate of 20% to 88% reported in the literature. Management is multimodal, and the importance of aggressive
debridement, broad-spectrum antibiotics and intensive supportive care cannot be emphasised. The addition of newer
modalities of ulcer/wound management like low level laser therapy, hydrojet debridement and platelet rich plasma can
be used to augment the existing principles of management and reduce the morbidity and mortality associated with
the condition. This article is the authors' experience with the condition and the above stated newer modalities in the
management while staying true to the principles of management.

Keywords: Fournier's gangrene, low level laser therapy, platelet rich plasma, jet force technology, hydrojet debridement,
wound bed preparation, insulin therapy

INTRODUCTION
Fournier’s gangrene (FG) is a synergistic polymicrobial necrotizing fasciitis of the perineum, scrotum and
penis which is characterized by obliterative endarteritis of the subcutaneous arteries, resulting in gangrene
[2]
[1]
of the subcutaneous tissue and the overlying skin . Jean Alfred Fournier , a French dermatologist in 1883
was the first to describe a “fulminant gangrene” of the penis and scrotum that: (1) developed suddenly
in previously healthy young men, (2) progressed rapidly, and (3) was idiopathic. The disease is no longer
restricted to young men but may affect a wide age range from neonates to the very elderly. Since then this

© The Author(s) 2018. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made.

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