Fournier’s Gangrene
| Autor: | Taygun Gülşen, İlker Sücüllü, Ahmet Ziya Balta, Mustafa Demir, Yavuz Kurt |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Turkish Journal of Colorectal Disease, Vol 29, Iss 4, Pp 206-210 (2019) |
| Druh dokumentu: | article |
| ISSN: | 2536-4898 2536-4901 |
| DOI: | 10.4274/tjcd.galenos.2019.2019-5-4 |
| Popis: | Fournier’s gangrene is a disease of the perineal, genital or perianal regions characterized by necrositic fasciitis due to synergistic polymicrobial infection. Fourteen patients diagnosed with Fournier’s gangrene between 2009-2018 in our clinic were evaluated retrospectively. All patients were admitted to the emergency department or outpatient clinic of our hospital. The mean age of the patients was 58.6 (37-81) years. Diabetes mellitus (42%) and hypertension (42%) were the most common comorbidities in our patients with Fournier’s gangrene. Surgical debridement of necrotic tissues, broad-spectrum antibiotic therapy and nutritional support were applied to all patients. In the second session, reconstructive surgery was performed to repair the wound defect in 3 patients, hyperbaric oxygen therapy in 8 patients, negative pressure dressing in 5 patients, diversion colostomy in 3 patients. Mortality rate was 7% (1 patient). In conclusion, Fournier’s gangrene is a serious disease which is seen rarely in the emergencies of general surgery and urology clinics but has high mortality due to its insidious clinic. |
| Databáze: | Directory of Open Access Journals |
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