Explained by Eminent Surgeon Dr Amita Jain
Fournier’s gangrene is an acute, rapidly progressive, and potentially fatal, infective necrotizing fasciitis affecting the external genitalia, perineal or perianal regions, which commonly affects men, but can also occur in women and children. Scrotal raw areas are a source of morbidity and of great concern to the patients inflicted with this problem.
Most of the cases of scrotal raw area are seen as a result of diabetic patients who develop Fournier’s gangrene and require radical debridement. Fournier’s gangrene is usually a consequence of a polymicrobial infection with E.coli (aerobic), bacteriods (anaerobic) and streptococci (aerobic and anaerobic).
Fournier syndrome was described in 1883 by Jean Alfred Fournier-a French dermatologist specializing in venereal diseases-as a rapidly progressing infection of the perineum and the abdominal wall that extends to the scrotum and penis through the dartos fascia.
The etiology of this disease is controversial. Fournier originally reported cases with no known etiology. Currently, approximately 25% of the cases still remain idiopathic, although there are many predisposing factors, such as diabetes mellitus and paraphimosis.
Triple antibiotic combined with radical debridement is the mainstay of treatment. There have been many advances in the management of Fournier gangrene including the use of vacuum-assisted closure and hyperbaric oxygen therapy. Bilateral pudendal thigh flaps (Singapore flaps) is now giving promising result in such cases.
India’s renowned laparoscopic surgeon, Professor of Surgery and Indian Army’s first lady trauma surgeon, Dr Amita Jain in her research journal, titled, “Effectiveness of Singapore flap for Perineal Reconstruction of a Fournier’s Gangrene in a Tertiary Care Hospital” – shares an extended detail on effective use of Singapore flaps to cure Fournier’s Gangrene with medical case studies. Check Dr Amita Jain’s publication on Fournier’s Gangrene here: https://www.researchgate.net/publication/330185214_EFFECTIVENESS_OF_SINGAPORE_FLAP_FOR_PERINEAL_RECONSTRUCTION_OF_A_FOURNIER’S_GANGRENE_IN_A_TERTIARY_CARE_HOSPITAL
Dr Amita Jain is a surgeon with highest degree of professional competence, precision and surgical craftsmanship. Performed all complicated general surgery procedures with in depth knowledge of invasive and few minimal invasive and onco surgical techniques. Underwent special training in trauma, executed various trauma-related complex life-saving neurosurgical procedures, reconstructed injured mangled limbs and performed vascular and reconstructive procedures with critical care.
Dr Amita Jain holds 28 plus years of rich experience in Trauma and General Laparoscopic Surgeries (including Gallbladder stone removal, appendix removal, hernia repair surgery, piles and fissure surgeries). She was the Professor Surgery of at the Army College of Medical Sciences and Base Hospital Delhi Cantt. In 1994 she was commissioned as Surgeon under the United Nations Mission in Congo. From 2020 to 2022, she worked with Bansals Hospital. Currently, Dr Amita Jain is the Senior Consultant, (Speciality: General and Laparoscopic Surgeon) at Artemis Lite Hospital, New Delhi