Fournier's Gangrene: A Summary of 10 Years of Clinical Experience

Basit Öğe Kaydı
dc.contributor.authorOguz, Abdullah
dc.contributor.authorGumus, Metehan
dc.contributor.authorTurkoglu, Ahmet
dc.contributor.authorBozdag, Zubeyir
dc.contributor.authorUlger, Burak Veli
dc.contributor.authorAgacayak, Elif
dc.contributor.authorBoyuk, Abdullah
dc.date.accessioned2024-04-24T17:33:09Z
dc.date.available2024-04-24T17:33:09Z
dc.date.issued2015
dc.departmentDicle Üniversitesien_US
dc.description.abstractWe aimed to present our clinical experience with FG treatment. Fournier's gangrene (FG) is a rare but serious disease characterized by progressive necrosis in the genitourinary and perineal region. The retrospective study included 43 patients. Patients were divided into 2 groups as survivors and nonsurvivors. Included in the analysis were data pertaining to demographics, predisposing factors, comorbidities, results of bacteriologic analyses, number of debridements, duration of treatment, FG Severity Index (FGSI) score, fecal diversion methods (trephine ostomy or Flexi-Seal Fecal Management System-FMS), and dressing methods (wet or negative aspiration system). In the nonsurvivor group, urea, WBC, and age were significantly higher, whereas albumin, hematocrit, platelet count, and length of hospital stay (LOHS) were significantly lower compared to the survivor group. Mean FGSI was lower in survivors in comparison with nonsurvivors (5.00 +/- 1.86 and 10.00 +/- 1.27, respectively; P < 0.001). We conclude that FGSI is an important predictor in the prognosis of FG. Vacuum-assisted closure (VAC) should be performed in compliant patients in order to enhance patient comfort by reducing pain and the number of dressings. Fecal diversion should be performed as needed, preferably by using FMS. The trephine ostomy should be the method of choice in cases where an ostomy is necessary.en_US
dc.identifier.doi10.9738/INTSURG-D-15-00036.1
dc.identifier.endpage941en_US
dc.identifier.issn0020-8868
dc.identifier.issue5en_US
dc.identifier.pmid25859652
dc.identifier.scopus2-s2.0-84974817675
dc.identifier.scopusqualityQ4
dc.identifier.startpage934en_US
dc.identifier.urihttps://doi.org/10.9738/INTSURG-D-15-00036.1
dc.identifier.urihttps://hdl.handle.net/11468/20469
dc.identifier.volume100en_US
dc.identifier.wosWOS:000355193300028
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherInt College Of Surgeonsen_US
dc.relation.ispartofInternational Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectFournier's Gangreneen_US
dc.subjectTrephine Ostomyen_US
dc.subjectVacuum-Assisted Closureen_US
dc.subjectMortalityen_US
dc.titleFournier's Gangrene: A Summary of 10 Years of Clinical Experienceen_US
dc.titleFournier's Gangrene: A Summary of 10 Years of Clinical Experience
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu