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New Indian Journal of Surgery

Volume  11, Issue 1, January-March 2020, Pages 71-73
 

Case Report

Role of Phenytoin in Fournier’s Gangrene

Padmalakshmi Bharathi Mohan1, Uday Kumar Chappa2, Ravi Kumar Chittoria3, Abhinav Aggarwal4

1,4Senior Resident, 2Junior Resident, 3Professor, Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, 605006, India.

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.11120.11

Abstract

Fournier’s gangrene or idiopathic gangrene of the scrotum has a fulminant course if not identified and managed at the earliest possible. The main stay of treatment is intensive care along with thorough surgical debridement and culture sensitive antibiotics. Multimodality treatment is advised as it hastens the wound healing, thereby shortening the patient stay in the hospital and thereby decreasing the patient mortality and morbidity. We hereby share our experience in managing a case of Fournier's gangrene using topical phenytoin as an adjunct for wound-bed preparation.

Keywords: Phenytoin; Fournier’s gangrene; Wound-bed


Corresponding Author : Ravi Kumar Chittoria