cover
Contact Name
Iswinarno Doso Saputro
Contact Email
iswinarno.doso@fk.unair.ac.id
Phone
+628155247800
Journal Mail Official
jre@journal.unair.ac.id
Editorial Address
Departemen Bedah Plastik Rekonstruksi dan Estetik Fakultas Kedokteran Universitas Airlangga Jl. Mayjend Prof. Dr. Moestopo No. 6-8, Surabaya, 60285. (031) 5020091 ext 1314
Location
Kota surabaya,
Jawa timur
INDONESIA
Jurnal Rekonstruksi dan Estetik
Published by Universitas Airlangga
ISSN : 23017937     EISSN : 27746062     DOI : http://dx.doi.org/10.20473/jre.v6i2.31832
Core Subject : Health,
Jurnal Rekonstruksi dan Estetik (p-ISSN:2301-7937, e-ISSN: 2774-6062) is a scientific peer-reviewed medical journal which is relevant to doctor and other health-related professions published by the Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia. Jurnal Rekonstruksi dan Estetik is published twice a year, every June and December. Jurnal Rekonstruksi dan Estetik focuses in publishing case report, review article and original research report on the latest medical sciences. The scope of Jurnal Rekonstruksi dan Estetik includes burn and wound, hand surgery, microsurgery, oncoplasty, craniofacial and external genitalia reconstruction and aesthetics. The article could be written in either Bahasa Indonesia or English. Jurnal Rekonstruksi dan Estetik indexed by: Google Scholar, GARUDA, SCILIT, CrossRef, BASE
Arjuna Subject : Kedokteran - Pembedahan
Articles 60 Documents
MODIFIED CLEFT LIP EVALUATION PROFILE (MCLEP) INDEX FOR UNILATERAL CLEFT LIP REPAIR OUTCOME ASSESSMENT IN SURABAYA CLP CENTER Magda Rosalina Hutagalung; Sitti Rizaliyana
Jurnal Rekonstruksi dan Estetik Vol. 5 No. 1 (2020): Jurnal Rekonstruksi dan Estetik, June 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (627.182 KB) | DOI: 10.20473/jre.v5i1.24316

Abstract

Highlights: The study revealed that there were no notable variations in the ultimate scores, regardless of whether the cleft lip was complete or an alveolar cleft was present. If the palate cleft was not present, unilateral cleft lip repair yielded considerably superior results, showing enhancements in both total lip and nose scores. Abstract: Introduction:  Cleft lip and/or palate is the most common craniofacial congenital anomaly encountered by the plastic surgeon. Both reconstruction and outcome assessment are challenging. This study aimed to assess the outcome of unilateral cleft lip repair in the Surabaya CLP Center. Methods: All patients who underwent unilateral cleft lip repair in 2017 were included in the study. Those without complete photographs at minimally 52 weeks after surgery were excluded. The photographs of patients taken at least one-year post-surgery were assessed using a modified cleft lip evaluation profile (MCLEP) index. The data were then analyzed using statistical software. Results: There were 38 subjects included in the study. There was no significant difference in the final scores obtained based on completeness of the cleft lip and the presence of alveolar cleft. The total nose score was significantly better in the left side cleft (p = 0.002). When palate cleft was absent, the total lip score (p= 0.038), the total nose score (p = 0.008), and total score (p = 0.000) were also significantly better. Conclusion: The unilateral cleft lip repair in CLP Center Surabaya yielded good and symmetrically acceptable results. The study failed to observe the different outcomes of unilateral cleft lip repair based on completeness of the cleft lip and the presence of alveolar cleft. However, the unilateral cleft lip repair outcome was significantly better in the absence of palate cleft.
FAKTOR RESIKO DAN KARAKTERISTIK INFANTIL HEMANGIOMA DI RSUD DR. SOETOMO TAHUN 2015-2019 Muhammad Ikhsan; Agus Santoso Budi
Jurnal Rekonstruksi dan Estetik Vol. 6 No. 1 (2021): Jurnal Rekonstruksi dan Estetik, Juni 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.131 KB) | DOI: 10.20473/jre.v6i1.28229

Abstract

Highlights: Usia ibu, riwayat keluarga, dan penggunaan obat prekonsepsi, dapat menjadi faktor risiko yang signifikan dalam perkembangan hemangioma infantil pada anak-anak. Pemahaman tentang faktor-faktor risiko ini dapat membantu dalam diagnosis, pengawasan, dan perawatan yang lebih baik bagi anak-anak yang mengalami hemangioma infantil. Abstrak: Latar Belakang: Di Indonesia, data mengenai faktor risiko hemangioma infantil ini masih belum terdokumentasikan dengan baik. Namun dengan adanya data demografis, faktor-faktor prenatal dan perinatal pada pasien hemangioma infantil dapat membantu klinisi untuk mendalami patogenesis kelainan ini dengan lebih baik. Diharapkan dalam penelitian ini, adanya data demografis ini dapat membantu peneliti lainnya untuk melakukan analisis lebih lanjut mengenai patogenesis, diagnosis, tatalaksana, maupun luaran pasien dengan hemangioma infantil. Metode:Penelitian ini merupakan studi case control. Sebanyak 67 subyek hemangioma infantil dan 134 subyek hemangioma non infantil diambil dari data rekam medis. Data yang diambil yaitu jenis kelamin pasien, berat badan, usia ibu saat hamil, usia kehamilan saat melahirkan, riwayat multipel gestasi, riwayat penggunaan obat-obatan saat kehamilan dan riwayat keluarga dengan hemangioma infantil. Kemudian dianalisis secara univariat, bivariat dan multivariat dengan program spreadsheet Microsoft Excel SPSS 21. Hasil: Risiko hemangioma infantil meningkat dengan usia ibu, terutama pada ibu berusia 22-30 tahun (4,257 kali lebih besar dibandingkan dengan ibu di bawah 22 tahun) dan lebih dari 30 tahun (9,960 kali lebih besar dibandingkan dengan ibu di bawah 22 tahun). Riwayat keluarga dengan hemangioma atau kelainan vaskular juga meningkatkan risiko (14,175 kali lebih besar daripada yang tidak memiliki riwayat serupa).Penggunaan obat prekonsepsi selama kehamilan juga berkontribusi pada risiko (4,914 kali lipat). Hemangioma infantil lebih umum pada orang Melayu daripada orang Cina. Kesimpulan: Hemangioma infantil dipengaruhi oleh berbagai faktor seperti jenis kelamin, ras, usia ibu, riwayat keluarga, dan penggunaan obat-obatan selama kehamilan. Tidak ada hubungan yang signifikan antara riwayat multipel gestasi dengan hemangioma infantil.
KLEBSIELLA PNEUMONIAE NECROTIZING FASCIITIS OF THE LOWER EXTREMITY IN A 7-MONTH-OLD MALE: A CASE REPORT Marelno Zakanito; Iswinarno Doso Saputro
Jurnal Rekonstruksi dan Estetik Vol. 4 No. 2 (2019): Jurnal Rekonstruksi dan Estetik, December 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (5061.981 KB) | DOI: 10.20473/jre.v4i2.28220

Abstract

Highlights: Diagnosing necrotizing fasciitis (NF) was challenging because its symptoms may overlap with other soft tissue infections. Necrotizing Fasciitis K. Pneumoniae, a Rare Life-threatening Case. Abstract: Introduction:  Klebsiella   pneumoniae   necrotizing   fasciitis   is   an uncommon soft tissue infection characterized by rapidly progressing necrosis involving the skin, subcutaneous tissue, and fascia. This condition may result in gross morbidity and mortality if not treated in its early stages. In fact, the mortality rate of this condition is high, ranging from 25 to 35%. We present a case of 7-month-old male with K. pneumoniae necrotizing fasciitis of the lower extremity. Case Illustration: A 7-month-old male presented with large areas over both left and right inferior side of the lower limbs to the emergency department of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Physical examination revealed elevated heart rate of 136 times per minute and increased body temperature of 38oC. The large areas on both lower limbs were darkened, sloughed off, and very tender to palpation. A small area over the right hand was erythematous and sloughed off. Laboratory evaluation demonstrated decreased hemoglobin of 6.2 g/dL and elevated leukocyte of 28,850 g/dL. Blood cultures demonstrated that K. pneumoniae was present. Discussion: NF is usually hard to diagnose during the initial period. The findings of NF can overlap with other soft tissue infections including cellulitis, abscess or even compartment syndrome. The clinical manifestations of NF start around a week after the initiating event, with induration and edema, followed by 24 to 48 hours later by erythema or purple discoloration and increasing local fever In the next 48 to 72 hours, the skin turns smooth, bright, and serous, or hemorrhagic blisters develop. If unproperly treated, necrosis develops, and by the fifth or sixth day, the lesion turns black with a necrotic crust. Conclusions: K. pneumoniae necrotizing fasciitis is a rare but life- threatening disease. A high index of suspicion is required for early diagnosis and treatment of this condition
MULTIPLE BURR HOLE AS AN ALTERNATIVE TREATMENT FOR LARGE SCALP DEFECT Priscilla Valentin N; Iswinarno Doso Saputro
Jurnal Rekonstruksi dan Estetik Vol. 4 No. 1 (2019): Jurnal Rekonstruksi dan Estetik, June 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (351.034 KB) | DOI: 10.20473/jre.v4i1.24353

Abstract

Highlights: The alternative treatment for large scalp defect can used multiple cranial burr holes. Multiple cranial burr holes is safe, swift and effective for the skull bone expose of the periosteum. Abstract: Introduction: Scalp defect with exposed bones is a serious injury that is often occurred after electrical burn injury. The coverage treatment may vary from local flap to free flap. Coverage becomes a major problem when flaps fails or is contraindicated and resulting in further morbidity. In this paper we report 1 patient with large scalp defect after electrical burn injury. Case Illustration: We report 1 patient with large scalp defect after electrical burn, which treated in our department. Fourteen days after the electrical burn injury, surgical debridement was done by the plastic surgeon, and multiple burr holes were made by the neurosurgeon in the nonviable bone. The distance between each burr holes was 15 mm. The defect was keep moist with absorbent. The scalp defects were treated with soft tissue debridement every 3 days in the policlinics to keep the wound presented viable. To date, the wound already treated for 90 days. Discussion: The granulation tissue appears in between the burr holes within 14 days. After the defect was covered with granulation tissues, a further closure such as skin graft application was necessary. No postoperative infection, osteomyelitis, or cranial bone sequestration was reported in this case. Conclusions: Multiple cranial burr holes can be chosen as an alternative treatment for large scalp defect. These technique, allow the formation of a vascular bed suitable for skin grafting. This technique is safe, swift and effective for cases of extensive exposure for the skull bone expose of the periosteum following trauma.
MANDIBULR CONDYLE FRACTURE MANAGEMENT OUTCOME IN DEPARTMENT OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, DR. SOETOMO GENERAL ACADEMIC HOSPITAL (2015-2018) Lobredia Zarasade; Iswinarno Doso Saputro; Nadia Tamara Putri
Jurnal Rekonstruksi dan Estetik Vol. 5 No. 1 (2020): Jurnal Rekonstruksi dan Estetik, June 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (718.729 KB) | DOI: 10.20473/jre.v5i1.24323

Abstract

Highlights: The management of mandibular condyle fractures is determined based on patient age, fracture type, systemic health, other maxillofacial fractures, and dental conditions factors. Out of the total patients indicating successful management of mandibular condyle fractures at Dr. Soetomo Hospital. Abstract: Introduction: The high incidence of condyle mandible fractures is due to the role of the mandibular ramus which has stronger resistance compared to head condyle mandibular. The management of condyle fractures is still controversial because of the prognosis. Management of condyle fractures of the mandible should aim at maximally reducing morbidity, postoperative complications, and aesthetic and/ or functional impairment. Methods: The medical records of 56 patients with condyle mandible fractures who presented at the Dr. Soetomo General Academic Hospital Surabaya from January 2015 to December 2018 were reviewed retrospectively. We analyzed characteristics of the patients (age), type of fractures, management of fractures, and outcome from management. Results: This study shows that a total of 56 patients, 22 were patients with mandibular condyle fractures only and 34 patients with mandibular condyle fractures with other maxillofacial fractures. The studied showed that male patients (84%) is more than female patients (16%). The mean age of the patients involved in this study was 28.25 ± 1.78 years, with the youngest being 12 years old and the oldest being 67 years old. The results of the overall study with good occlusion results in 48 patients, it was found that 22 patients were treated with closed reduction and 26 patients with open reduction were performed. Conclusions: The results of condyle mandibula fracture management in Dr. Soetomo Hospital has been according to the indication with the treatment indication along with the result of good management.
EVALUASI KASUS KARSINOMA SEL BASAL DI MAKASSAR PERIODE JANUARI 2017-DESEMBER 2019 Fonny Josh; Asrul Mappiwali; Tommy Hermawan Sukamto
Jurnal Rekonstruksi dan Estetik Vol. 6 No. 2 (2021): Jurnal Rekonstruksi dan Estetik, Desember 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (870.935 KB) | DOI: 10.20473/jre.v6i2.31834

Abstract

Highlights: Kasus predileksi karsinoma sel basal di Makassar yang sering terjadi yaitu di daerah nasal dengan tipe histopatologi terbanyak adalah tipe nodular. Mayoritas pasien menjalani bedah eksisi, kasus metastasis jarang terjadi, dan kebanyakan kasus karsinoma sel basal tidak rekuren. Abstrak: Latar Belakang:  Karsinoma  Sel  Basal  atau  Basal  Cell  Carcinoma  (BCC) adalah jenis kanker kulit yang paling umum terjadi pada manusia. Penyakit ini menyebabkan sekitar 75% dari semua kasus kanker kulit non melanoma (NMSCs). Setiap tahunnya, ada sekitar satu juta kasus baru yang didiagnosis, dengan lebih dari 10.000 kematian akibat penyakit ini. Tujuan dari penelitian ini adalah untuk mengevaluasi kasus karsinoma sel basal yang terjadi di Makassar. Metode: Penelitian  bersifat  deskriptif  retrospektif  dengan  mengevaluasi kasus  karsinoma  sel  basal  dari  Januari  2017-Desember  2019.  Data diperoleh dari rekam medis  pasien di RS Wahidin  Sudirohusodo,  Universitas Hasanuddin dan Ibnu Sina, Makassar, Indoneisa. Metode pengambilan sampel yang digunakan adalah total sampling. Selanjutnya, data ini akan dibandingkan dengan temuan dari penelitian sebelumnya. Hasil: Dari 49 kasus Karsinoma Sel Basal (BCC) yang diamati, sebagian besar terjadi pada perempuan (67,3%) dengan rata-rata usia pasien sekitar 60 tahun. Kasus BCC paling sering terjadi pada kelompok usia 41-60 tahun (51%). Bagian hidung merupakan tempat yang paling sering terkena BCC (30,6%), dengan jenis tipe nodular menjadi yang paling umum (53,1%) dan tipe morpheaform menjadi yang paling jarang (2,4%). Mayoritas pasien menjalani operasi pengangkatan tumor (85,7%). Kasus penyebaran penyakit (metastasis) jarang terjadi, hanya ditemukan pada lima kasus. Dua kasus (4,1%) menyebar ke paru-paru, dan satu kasus (2%) menyebar ke hepar. Sebagian besar kasus BCC tidak kembali muncul (rekuren) dengan persentase mencapai 81,6%. Kesimpulan: Karsinoma sel basal sering muncul di hidung dan jenis yang paling umum adalah tipe nodular. Banyak pasien menjalani operasi pengangkatan tumor. Kasus penyebaran penyakit jarang terjadi, dan kebanyakan kasus tidak kembali muncul.  
DETEKSI KADAR TRANSFORMING GROWTH FACTOR (TGF-β) PADA LUKA AKUT Pratidina Wulandari; Magda Rosalina Hutagalung
Jurnal Rekonstruksi dan Estetik Vol. 6 No. 1 (2021): Jurnal Rekonstruksi dan Estetik, Juni 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (201.088 KB) | DOI: 10.20473/jre.v6i1.28225

Abstract

Highlights: Peningkatan kadar TGF-β dalam fase proliferasi luka dapat berperan dalam stimulasi fibroblas untuk menghasilkan lebih banyak kolagen dalam pembentukan jaringan parut. Kadar TGF-β pada luka akut kulit tikus menunjukkan adanya peningkatan yang signifikan dari fase inflamasi ke fase proliferasi dengan nilai p=0,003. Abstrak: Latar Belakang:  TGF-β merupakan faktor pertumbuhan yang paling dominan dalam peningkatan sintesis kolagen, memiliki peran utama pada penyembuhan luka dengan  menstimulasi  fibroblas  sehingga  menimbulkan  penyembuhan  dan berperan  serta  dalam  pembentukan  parut,  baik  itu  parut  normal  maupun abnormal seperti parut hipertrofik dan keloid. Penelitian ini bertujuan untuk mengukur kadar TGF-β pada fase penyembuhan luka. Metode: Penelitian eksperimental ini menggunakan randomized post test only control  group  design.  Dua  belas  luka akut  kulit tikus  dirandomisasi  menjadi dua  kelompok,  dimana  kelompok  1  diambil  spesimen  pada  hari  ke-5  dan kelompok  2  pada  hari  ke-21  dan  dilakukan  pemeriksaan  ELISA  untuk mengukur kadar TGF-β. Hasil: Pengukuran kadar TGF-β pada luka akut kulit tikus didapatkan jumlah yang meningkat secara signifikan dari hari ke-5 (fase inflamasi) ke hari ke-21 (fase proliferasi) dengan nilai p=0,003. Kesimpulan: Terjadi  peningkatan  kadar  TGF- β  pada  akhir  fase  proliferasi atau  awal  fase  remodelling.  Hal  ini  menyebabkan  peningkatan  proliferasi fibroblas  untuk  mensintesis  kolagen  yang  nantinya  dapat  menjadi  parut hipertrofik dan keloid.
PALATAL FRACTURE FIXATION ON SEVERE PANFACIAL FRACTURE: IS THERE ANY CLINICAL SIGNIFICANCE? Arif Tri Prasetyo; Magda Rosalina Hutagalung; Lobredia Zarasade
Jurnal Rekonstruksi dan Estetik Vol. 3 No. 1 (2018): Jurnal Rekonstruksi dan Estetik, June 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1354.774 KB) | DOI: 10.20473/jre.v3i1.24369

Abstract

Highlights: A panfacial fracture patient received effective surgical treatment, with a primary focus on aligning the upper jaw arch by addressing the hard palate through various surgical methods. Palate fractures, while relatively rare, require plate stabilization and can lead to challenges such as teeth misalignment and wound issues. Abstract: Introduction: Fractures of the hard palate are infrequent. They are found in less then 10% of patients with midfacial fractures. They practically never occur in isolation and are usually part of alveolar process fractures or more complex midfacial fractures of the Le Fort type. Treatment of palatal fractures is planned and performed with the goal of restoring the transverse width of the palate, the anteroposterior projection of the maxillary arch, and the patient’s pretraumatic occlusal plane, as well as maintaining horizontal stability of the midface. Case Illustration: Reporting patient female 17 years old with panfacial fracture due to traffic accident. There was slight epidural haemorrhage on frontal area. The fractures are on upper face, midface, and lower face including the hard palate. We performed open reduction internal fixation on palate to correct the arch of the upper jaw. The other fracture site can be corrected easier. The approaches that we done are bicoronal, subsilier, and intraoral. Discussion: In a case of severe panfacial fracture with upper jaw misalignment and an existing laceration, we opted to use miniplates for palatal fixation without making new incisions. Palate fractures are relatively uncommon and are associated with significant rates of malocclusion and wound complications. These injuries are typically managed with plate fixation of the alveolar ridge with variable approaches to the palatal vault.   Conclusion: The patient was successfully treated using bottom-up and outside-in sequence by accessing all facial injuries. Postoperatively, radiograph examination revealed good reduction and fixation of titanium plates, and physical examination revealed good functional and aesthetic outcomes. However, it's important to note that there's a risk of osteosynthesis material exposure in the future.
A CASE REPORT: RISK OF ELECTRIC INJURY ON DELAYED INITIAL TREATMENT Ulfa Elfiah; Dissa Yulianita Suryani
Jurnal Rekonstruksi dan Estetik Vol. 4 No. 1 (2019): Jurnal Rekonstruksi dan Estetik, June 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (537.597 KB) | DOI: 10.20473/jre.v4i1.24349

Abstract

Highlights: Electric injuries are aggressive burns that can lead to severe tissue necrosis, rhabdomyolysis, and a range of complications, including acute kidney injury (AKI). A multidisciplinary approach and early identification of potential complications in electric injury cases are crucial for reducing the risk of Acute Kidney Injury (AKI) and improving patient outcomes. Abstract: Introduction: Electric Injury is a very aggressive burn injury with severe functional and aesthetic consequences caused by progressive and prolonged tissue necrosis. Necrosis that attacks the skeletal muscle can lead to rhabdomyolysis which results in complications if not treated properly. Case Illustration: A complicated case of electric injury in Dr. Soebandi Jember General Hospital, a 26 years old man came to the emergency room with complaints of severe shortness of breath and urinary disorders. The patient had a history of having an electric shock in his right hand when turning on the fan a week prior of admission. The examination showed that the patient had bilateral pulmonary effusion, generalized edema and acute tubular necrosis (ATN) which was characterized by oliguria and even anuria accompanied by hematuria. Other symptoms experienced by patients are anterior uveitis, subconjunctival hemorrhage, and hematemesis. Discussion: Electric injuries can have a wide range of effects on the body, and their management requires a multidisciplinary approach to address the various complications that may arise. Treatment of electric injuries often involves various surgical procedures, including skin grafts, flaps, or amputation, depending on the severity of the injury. Conclusions: Early identification of potential complications in electric injury cases and effective patient follow-up can reduce the risk of Acute Kidney Injury (AKI) occurrence in patients with electric injuries.
PREDISPOSITION FACTORS ANALYSIS FOR FOURNIER’S GANGRENE DEFECTS CLOSURE COMPLICATION Bayu Fasi Bermani; Sitti Rizaliyana
Jurnal Rekonstruksi dan Estetik Vol. 5 No. 1 (2020): Jurnal Rekonstruksi dan Estetik, June 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (635.125 KB) | DOI: 10.20473/jre.v5i1.24318

Abstract

Highlights: Fournier's gangrene remains a serious condition with a relatively high mortality rate. Early identification of predisposing factors, combined with invasive and aggressive treatment approaches, is crucial in mitigating morbidity. Abstract: Introduction:  Fournier’s gangrene is a rare and rapidly progressive, necrotizing fasciitis affecting the external genitalia and perineum. Based on the case series that have been reported, the incidence rate of this case is 88% with a mortality rate of 20%-40%. The study aims to share our policy in managing Fournier’s gangrene and identifying risk factors that can affect the outcome of defect closure. Methods: The medical records of 10 patients with Fournier’s gangrene who presented at the Dr. Soetomo Hospital Surabaya from January 2017 to December 2018 were reviewed retrospectively. We analyzed the characteristics of the patients, risk factors, methods of defect closure, and case outcome. There are 10 Fournier’s gangrene patients at Dr. Soetomo Academic General Hospital from January 2017 to December 2018. We analyzed the patient’s medical records retrospectively on the patient’s characteristics, risk factors, method of closing Fournier’s gangrene defects, and the final outcome of the case. Results: There were ten men enrolled in the study, and the mean age was 49.3 ± 11.51 years. All patients received broad-spectrum antibiotic therapy, and extensive surgical excision. This study found that diabetes mellitus and uncontrolled patient blood sugar levels, statistically there is no effect on failure of defect closure in Fournier gangrene patients, but clinically, the relative risk value shows that blood glucose levels have a risk factor of 6 times. increasing the incidence of failure to close the Fournier gangrene defect. Conclusion:Fournier’s gangrene is still considered a severe disease with fairly high mortality rate. Early recognition of predisposition factors associated with invasive and aggressive treatment options is very important in efforts to to reduce morbidity.