Title: Successful Ayurvedic Management of Life Threatening Fournier's Gangrene: A Case Study
Author: Dr Sarita Pradip Gaikwad
DOI: https://dx.doi.org/10.18535/jmscr/v9i7.31
Abstract
Fournier's gangrene is acute necrotizing fasciitis of scrotum, penis, perineum and may be extended to abdominal wall and legs. It is a rapidly progressive, life threatening emergency. If not properly managed by timely surgical intervention, and active medical management, the outcome is very grave with high mortality. Active management of such a case in Ayurved is rarely reported. Case study: A 60 year old male developed Fournier's gangrene and was admitted and treated by surgery department of B.J. Medical College, Pune. Two surgical debridements were actively carried out but the wound failed to heal and there was a likelihood of the case going in to shock due to septicaemia. Such a case with Fournier's gangrene having Severity Index (FGSI) 9.2; was referred by surgery department to Ayurved department of Sassoon hospital, Pune (the teaching hospital of B.J.Medical College, Pune) and was successfully managed by active Ayurvedic line of treatment. This case study highlights that Modern science has limitations but when both Modern science and Ayurved treat a complicated case in an integrated manner, the outcome is always better.
Keywords: Fournier's gangrene, Necrotizing fasciitis, Ayurvedic management, Dushtavran, Kotha.
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