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Dutta et al. Plast Aesthet Res 2018;5:20 I http://dx.doi.org/10.20517/2347-9264.2018.19 Page 5 of 9

Figure 6. Low level laser therapy being given to abdomen raw area

Figure 7. Autologous platelet rich plasma being injected in grafted raw area

DISCUSSION
The understanding of the aetiology and pathogenesis of FG has significantly become more evident since the
condition was first described by Jean Alfred Fournier. Though the basis of good management is aggressive
debridement, broad-spectrum antibiotics and intensive supportive care, there is significant amount of
morbidity and increased hospital stay leading to skyrocketing treatment costs. Here comes the rationale of
trying novel techniques like Low level laser therapy, hydrojet irrigation and autologous platelet rich plasma,
which in our experience and opinion have significantly contributed in hastening the wound healing with
decreased morbidity.

Low level laser therapy (LLLT) is a proven modality in the management of chronic infected wounds. Efficacy
[16]
2
of LLLT in wound bed preparation was discovered by Mester et al. by application of a low-energy (1 J/cm )
ruby laser. Unlike other medical lasers, LLLT does not have an ablative or thermal mechanism, but rather
[17]
a photochemical effect in which the light is absorbed causing a chemical change . Multiple studies have
proven LLLT to be very efficacious in improvement in chronic wounds, mostly diabetic foot ulcers [18-20] . But
to the best of our knowledge, no studies or case reports on the use of LLLT in Fournier’s Gangrene have been
reported yet.

Autologous platelet rich plasma (APRP) has been reported to help in wound bed preparation in various
[21]
aspects of medicine . Platelets are known to express around 30 growth factors. They are chemotactic and