Prognostic Factors In The Evaluation Of Fournier's Gangrene Including Extended Fournier's Gangrene.

Autor: Aggarwal, Karan, Kumar, Arjun Suresh, Laxminarayana, Badareesh
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Zdroj: Surgical Chronicles; Jul-Sep2022, Vol. 27 Issue 3, p324-327, 4p
Abstrakt: Introduction: Fournier's gangrene(FG) is an acute, rapidly progressive, necrotizing fasciitis of the scrotum, perineal and perianal region causing gangrene of the skin and subcutaneous tissue. FG is associated with a high mortality rate of 14 %. Methods: Out of 101 patients were admitted from 1st may 2014 to 31st may 2019, with a diagnosis of Fournier's gangrene or extended Fournier's gangrene (eFG), 93 patients were included in the present study. Results: FG is associated with a high mortality rate of 14 %. Fournier's Gangrene Severity Index(FGSI) score at admission of more than 9 is associated with 92.8% mortality and a score lesser than 9 is associated with 100% survival. Conclusion: The study found that certain factors like delayed admission into hospital, fever and altered sensorium at the time of admission; cirrhosis of liver and presence of more than 1 premorbid illness, hypotension, thrombocytopenia, hypoalbuminemia, acidosis and acute kidney injury at the time of admission had impact on the outcome of FG or eFG . [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index