What are the indications for a stoma in Fournier’s gangrene?*
| Autor: | Y. Sonmez, Ersin Öztürk, Tuncay Yilmazlar |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Gangrene
medicine.medical_specialty Genitourinary system business.industry General surgery Gastroenterology Anorectal disorder Retrospective cohort study medicine.disease digestive system digestive system diseases Surgery surgical procedures operative Stoma (medicine) Disease severity Fournier s gangrene medicine Young adult business |
| Zdroj: | Colorectal Disease. 13:1044-1047 |
| ISSN: | 1462-8910 |
| DOI: | 10.1111/j.1463-1318.2010.02353.x |
| Popis: | Aim This study examined the indications for a stoma in patients with Fournier’s gangrene and its impact on outcome. Method Patients with Fournier’s gangrene were retrospectively reviewed for indications for a stoma. Patients with and without a stoma were compared, based on demographics, disease severity, surgical therapy, length of hospital stay, clinical outcome and cost. Results Forty-four patients (median age 57 years, range 28–77 years) were evaluated. Eighteen had a temporary stoma and 26 did not. A stoma was 5 times more likely in males. Patients with Fournier’s gangrene originating from an anorectal disorder received a stoma more often than patients with disease originating from an urogenital disorder. Clinical outcomes were similar for patients with or without a stoma. Stoma closure was associated with an extra cost of about $6650 per patient. Conclusion Stoma creation in the management of Fournier’s gangrene was needed for selected patients. Having a stoma did not appear to affect outcomes and resulted in a significant increase in cost of care. |
| Databáze: | OpenAIRE |
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