Fournier's gangrene or necrotizing fasciitis of the perineum scrotum and penis is a highly debilitating condition with a high mortality rate of 20% to 88% reported in the literature. Management is multimodal, and ...Fournier's gangrene or necrotizing fasciitis of the perineum scrotum and penis is a highly debilitating condition with a high mortality rate of 20% to 88% reported in the literature. Management is multimodal, and the importance of aggressive debridement, broad-spectrum antibiotics and intensive supportive care cannot be emphasised. The addition of newer modalities of ulcer/wound management like low level laser therapy, hydrojet debridement and platelet rich plasma can be used to augment the existing principles of management and reduce the morbidity and mortality associated with the condition. This article is the authors' experience with the condition and the above stated newer modalities in the management while staying true to the principles of management.展开更多
Although there are a variety of definitions that describe plastic surgery,confusion persists in the minds of both the lay public and doctors.A common lay misconception is that actual pieces of plastic are used to repa...Although there are a variety of definitions that describe plastic surgery,confusion persists in the minds of both the lay public and doctors.A common lay misconception is that actual pieces of plastic are used to repair injured tissues or placed over defects to make them appear better.On the other hand,resident doctors from specialities such as ear-nose-throat and general surgery fail to appreciate the vast scope that plastic surgery specialty entails.In recognition of this,trainee plastic surgeons are often asked to briefly define our specialty in their final exams,so that subsequent misconceptions are minimized.展开更多
文摘Fournier's gangrene or necrotizing fasciitis of the perineum scrotum and penis is a highly debilitating condition with a high mortality rate of 20% to 88% reported in the literature. Management is multimodal, and the importance of aggressive debridement, broad-spectrum antibiotics and intensive supportive care cannot be emphasised. The addition of newer modalities of ulcer/wound management like low level laser therapy, hydrojet debridement and platelet rich plasma can be used to augment the existing principles of management and reduce the morbidity and mortality associated with the condition. This article is the authors' experience with the condition and the above stated newer modalities in the management while staying true to the principles of management.
文摘Although there are a variety of definitions that describe plastic surgery,confusion persists in the minds of both the lay public and doctors.A common lay misconception is that actual pieces of plastic are used to repair injured tissues or placed over defects to make them appear better.On the other hand,resident doctors from specialities such as ear-nose-throat and general surgery fail to appreciate the vast scope that plastic surgery specialty entails.In recognition of this,trainee plastic surgeons are often asked to briefly define our specialty in their final exams,so that subsequent misconceptions are minimized.