Fournier's Gangrene: A summary of 10 years of clinical experience - Abstract

OBJECTIVES: We aimed to present our clinical experience with FG treatment.

SUMMARY OF BACKGROUND DATA: Fornier's Gangrene (FG) is a rare but serious disease characterized by progressive necrosis in the genitourinary and perineal region.

METHODS: The retrospective study included 43 patients. The patients were divided into two groups as survivors and non-survivors. Included in the analysis were data pertaining to demographics, predisposing factors, comorbidities, results of bacteriologic analyses, number of debridements, duration of treatment, the 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).

RESULTS: In the non-survivor 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 non-survivals (5.00±1.86 and 10.00±1.27, respectively; p< 0.001).

CONCLUSION: We conclude that FGSI is an important predictor in the prognosis of FG. 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.

Written by:
Oguz A, Gümüş M, Turkoglu A, Bozdağ Z, Ulger B, Agaçayak E, Böyük A.   Are you the author?
Dicle University Faculty of Medicine, Diyarbakır, 21280, Turkey.

Reference: Int Surg. 2015 Apr 10. Epub ahead of print.
doi: 10.9738/INTSURG-D-15-00036.1

PubMed Abstract
PMID: 25859652 Infections Section

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