To investigate the clinical characteristics, wound infection control strategies, and wound repair methods of Fournier gangrene.

A retrospective analysis was conducted on 10 patients diagnosed with Fournier's gangrene admitted to the Department of Repair and Reconstruction Surgery in Peking University Shougang Hospital from March 2022 to June 2023. All patients underwent debridement surgery within 24 hours of admission and received intravenous broad-spectrum antibiotics and systemic symptomatic support treatment. The clinical characteristics of the disease, infection control plans, and wound repair methods were analyzed.

A total of 10 patients with Fournier's gangrene were enrolled. All patients were males (100%) with an average age of 67.1(27~85) years old ; The average length of hospital stay was 73.8 (18~93)days. The most common inducing factor was type 2 diabetes. Except for one patient who died of systemic infection due to disease deterioration, all other patients underwent 2.4 debridement surgeries (1~4). Several additional surgical interventions were performed: colostomy surgery (8/9), and testicular resection surgery (1/9). The main methods of wound repair and reconstruction were direct suturing or free skin grafting. Nine patients were followed up for 6-12 months, and all wounds healed well without recurrence.

Early identification of diseases, extensive debridement, and timely and adequate systemic anti-infection treatment are the core of Fournier′s gangrene treatment, as well as the key to reduce the recurrence rate and mortality. Considering the particularity of Fournier gangrene patients, the principle of balancing personalized operation needs and priorities should be applied in wound repair and reconstruction surgery, and appropriate repair methods should be selected.