Home > Journals > New Indian Journal of Surgery

New Indian Journal of Surgery

Submit your article Read this Journals View all journals
Full Text (PDF)
Original Article

The Role of Fournier’s Gangrene Severity Index as a Predictor of outcome and a Tool for Optimum Management of Patients with Fournier’s Gangrene : A Prospective Clinical Study at a Tertiary Care Center

Rohan Khandelwal , Rohan Khandelwal

Author Information

Licence:



New Indian Journal of Surgery 6(4):p 145-147, October-December 2015. | DOI: DOI : https://dx.doi.org/10.21088/nijs.0976.4747.6415.7

How Cite This Article:

Timeline

Received : N/A         Accepted : N/A          Published : N/A

Abstract

 Background: Fournier’s gangrene is a potentiallyfatal acute, necrotizing fascitis of the scrotum andperineal region associated with a synergistic bacterialinfection of the subcutaneous fat and superficialfascia with a mortality rates ranging from 20-30%.Aims and objectives: The study was carried out withthe objective to assess the role of Fournier’s gangreneseverity index (FGSI) as a predictor of outcome inpatients with Fournier’s gangrene. Materials andMethods: A prospective study was carried out on 54consecutive male Fournier’s gangrene cases. The datawas collected in the Department of Surgery,Vardhman Mahavir Medical College, SafdarjangHospital. All patients were treated with broadspectrum antibiotics and serial surgical debridements.Results: Age of the patients varied from 27 yrs to 62yrs with the mean duration of stay being 19.6 days.Mortality rate observed in our study was 17(31.5%)out of the 54. 38.9%(21) of the cases were diabetic and51.9%(28) were alcoholics. 22(40.7%) cases had nosignificant history before the development of thedisease, whereas 32(59.3%) had some predisposingcondition prior to onset of gangrene. Majority of our patients 24(44.4%) had a polymicrobial infection with Pseudomonas aeruginosa 11(20.4%) being the next most common organism. The Fournier’s gangrene severity index score in the survivors (n=37) varied from a score of 1 to 7 compared to the non survivors in whom it was more than 7. All 17 cases who succumbed to the disease had an average Fournier’s gangrene severity index score of 9.4 (Range: 8-18) at the time of admission. The average FGSI score in the survivors was 3.8 (Range 0-7). Conclusions: Fournier’s gangrene still persists in our country and is a lethal condition, if not treated early and energetically. Diabetics are more susceptible to developing the disease and more often than not there is a definite predisposing factor before the onset of disease. Most of the cases have poly-microbial infection and some secondarily get infected by hospital acquired organisms. Fournier’s gangrene severity index is a simplified way of comparing patients with the disease and also has significance in predicting outcome and guiding management.

References

No records found.


About this article

Cite this article

Licence:



Received Accepted Published
N/A N/A N/A
DOI: DOI : https://dx.doi.org/10.21088/nijs.0976.4747.6415.7

Keywords


Article Level Metrics

Last Updated

Saturday 28 February 2026, 12:50:30 (IST)

507

Accesses

0
158
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received N/A
Accepted N/A
Published N/A

licence




Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share