Fournier’s Gangrene of Scrotal area, in diabetic patient, Extensive Debridement – Dr Narotam Dewan
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Fournier's gangrene (FG) is a rare but life threatening disease. Although originally thought to be an idiopathic process, FG has been shown to have a predilection for patients with diabetes as well as long term alcohol misuse; however, it can also affect patients with non‐obvious immune compromise.The development and progression of the gangrene is often fulminating and can rapidly cause multiple organ failure and death. Because of potential complications, it is important to diagnose the disease process as early as possible Although antibiotics and aggressive debridement have been broadly accepted as the standard treatment however morbidity and mortality rates are significant.
Fournier's gangrene (FG) is a fulminant form of infective necrotising fascitis of the perineal, genital, or perianal regions, which commonly affects men, but can also occur in women and children. Even though this clinical entity is eponymously credited to the Parisian venerologist Jean‐Alfred Fournier, who described it as a fulminant gangrene of the penis and scrotum in young men, Baurienne in 1764 and Avicenna in 1877 had described the same disease earlier. Over the years, many terms have been used to describe this clinical condition including idiopathic gangrene of the scrotum, periurethral phelgmon, streptococcal scrotal gangrene, phagedena, and synergistic necrotising cellulitis.
Early surgical debridement of necrotic tissues and antibiotics are fundamental in the treatment of FG. Despite advanced management mortality is still high and averages 20%
You are an amazing doctor! I’d choose you as my surgeon anytime!
We are planning a trip to India in ‘21 and I’d love to take you to dinner!
Thank you for sharing your work and showing the care and excellent work you do!
Diabetic patients are at a great risk for many complications like 1. fluctuation of blood sugar levels. 2. kidney damage 3. Eye damage 4. Loss of sensations in different parts of body 5. Serious infections. This is a case in which the patient ignored proper treatment of his diabetes and developed serious life threatening infection of scrotum and perennial area. This infection and pus compromised his blood supply to the area which became gangrenous { means dead }. In a gangrene the bacteria start releasing endotoxins { poison } which can reduce blood pressure and cause circulation failure. This circulation failure leads to failure of multiple organs like kidneys, liver, lungs and heart. This can be very dangerous for the patient and there is risk of death. This patient was treated with constant care and very energetically. Now the patient is out of danger and his infection and sugar are under control. Patient will be given skin grafting once his wound is absolutely healthy after few weeks. I am sharing this video to make everyone aware about the dangers of diabetes and ignoring the disease.
Thank you in advance for any response and thank you for sharing this with the public and i want to thank your patient for being brave enough to allow you to share this video. I know it will help many people.
Are there not diabetic medications that are actually causing this to happen? Jardiance(?sp), farxiga(?sp) i read are actually causing “necrotizing fasciitis of the perineum” of diabetics. I know this is a question i won’t get an answer to but im gonna ask anyway….have you seen a higher incidence of this with patients who are either on theae medicines or their equivalent?
thanks for the video /…. it is a wonderful job … but how do you control the bleeding at the end of the procedure ???????
and , don’t you prefer using a urethral catheter to save and identify the urethra during debridement ???
Dr Narotam-Dewan-Hospital Ludhiana sir why pt r so irresponsible ?…..great job sir.?????
thank you doctor for your videos they are hard for some people but truthfull of the dangers of diabetes ,my mother had the disease and died of complications.her heart was the organ that was the most affected.but because she took care of heself , listend to her doctor and took the drugs she lived 10 years more.that is why i think what you do here on YouTube is important. so people can see what can happen .you are very good doctor please continue….thank you to your patient and hope he is better.
He said, “It looks like an election campaign!” Lol.
I couldn’t imagine the smell from that. Frankly I’m amazed that anything was even able to be saved.
Alguien esta aqui por 8cho?
The patient has recovered fully, we have done skin grafting and the graft has taken over well. He is leading a normal life now. In few days I will upload his final video and pics. Thanks to my subscribers and everyone for always encouraging me to upload more videos and information.
Hi
I now have this problem I got about 6 sirgereys to remove the dead tissue it hurt soo bad it’s healing very good as we speak I didn’t have as bad but I’m lucky
Dr Narotam-Dewan-Hospital Ludhiana thank you for the update on the patient, plus the step by step explanation of what was being done and why.
Thankfully, he had you for his surgeon.
Sir my father is also suffering from fornier’s gangrene Scrotum from 1 month.. 2 surgeries are done..but now testies are open..father don’t have Diabetes..Sir when my father will be recover ???
Praise the Lord?????? I hope he is taking better care of himself!! I never knew that could happen to the private area I am still in a OMGOODNESSstate!!! Thank you for educating us☺ You did a excellent job on his surgery!!
MY GOD THIS POOR POOR MAN!!!! THIS HURT MY TESTICLES WATCHING THIS!!! THANK GOD FOR THIS AMAZING DOCTOR!!!!
I agree, but the poor man needed to see the doctor sooner!
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de repente un comentario en español
likaso si vienes por 8cho xdxdxd obvia nadie :’v
like si viene del vídeo de 8ocho
Brian Chavez likaso
Senpai 8cho :`]
Dr…Thank you, thank you for sharing your work!! I enjoy your commentary of why you are excising certain areas. Also a thank you to the camera person.
Peggy Helton yer Peggy thanks a lot for encouraging him to post more. I could hear the gangrenous pus sloshing around. The men will be wondering why there not getting head lately
Like si vienes por 8cho!!! 😀
Wonderful video! I am a post surgical registered nurse and have cared for several patients after extensive debridement such as this but have never seen the actual surgery. Thank you for teaching me!!!!
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Brago like
I feel sorry for this guy. Does he recover from it?
I hope so, since many people die from it.
Dang I don’t even have a set of balls but it feel like I do watching this!! OMGOODNESS OUCH OUCH. People please take care of your health the very best that you can!! This is sooo horrible shouldn’t nobody have to allow themselves to go through this!!!!
I feel sorry for this patient. He’s got a painful recovery to look forward to.
It’s his fault for not seeing the doctor sooner!