International Journal of Clinical and Diagnostic Research
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International Journal of Clinical and Diagnostic Research. 2019, 7(4), 93-98
DOI: 10.12691/ijcdr-7-4-2
Open AccessArticle

ROLE OF TOPICAL INSULIN IN FOURNIER’S GANGRENE – A CASE REPORT

Uday Kumar Chapa1, Padmalakshami Bharathi Mohan2, Ravi Kumar Chittoria3, , Vinayak Chavan4, Abhinav Aggarwal5, Saurabh Gupta6, Chirra Likhitha Reddy7, Shijina K8 and Imran Pathan9

1Department of General Surgery, Jawaharlal Institute of Postgraduate Education and Research (JIPMER), Puducherry, India-605006.

2Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India-605006.

3Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India-605007.

4Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India-605008.

5Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India-605009.

6Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India-605010.

7Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India-605011.

8Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India-605012.

9Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India-605013.

Pub. Date: August 14, 2019
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Cite this paper:
Uday Kumar Chapa, Padmalakshami Bharathi Mohan, Ravi Kumar Chittoria, Vinayak Chavan, Abhinav Aggarwal, Saurabh Gupta, Chirra Likhitha Reddy, Shijina K and Imran Pathan. ROLE OF TOPICAL INSULIN IN FOURNIER’S GANGRENE – A CASE REPORT. International Journal of Clinical and Diagnostic Research. 2019; 7(4):93-98. doi: 10.12691/ijcdr-7-4-2

Abstract

Fournier’s gangrene or idiopathic gangrene of the scrotum has an eruptive course if not identified and managed at the earliest possible. The mainstay of treatment is Intensive care along with thorough surgical debridement and culture sensitive antibiotics. Multimodality treatment is suggested 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 insulin as an adjunct for wound bed preparation.

Keywords:
Insulin fournier’s gangrene wound bed

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