E-ISSN 2146-8133
 

Original Research (Original Article) 


The management of Fournier’s gangrene: A review of 60 patients

Salih Onur Basat, Tumay Ipekci, Fatih Ceran, Mehmet Kisaarslan, Mehmet Bozkurt.

Abstract
Background: Fournier’s gangrene (FG) is a rapidly progressive, destructive, necrotizing fasciitis of perianal, perineal,and genital region. The common clinical symptoms include sudden intense pain in the scrotum, prostration,fever, and pallor. In this study, it was aimed to assess FG in a wider angle.
Methods: 60 patients with the mean age of 55 (ranged between 48-62) that presented with FG in our hospital over a 6 year period between April 2008 and March 2014 were retrospectively reviewed. Age, gender, site of gangrene, risk factors, symptoms, microbiology, treatment modalities, FGSI score, and mortality datas were evaluated.
Results: 60 male patients with the mean age of 55 (ranged between 48-62) were included to the study. 50 patients survived, mortality rate was 16.6%. Septic shock (n: 4), cardiogenic shock (n:4) and pneumonia (n:2) were causes of death. As a risk factor, 45 (75%) patients had DM, 40 (66.6%) patients had HT, and 35 (58.3%) patients had both DM and HT. There were no other co-morbid situation for 10 (16.6%) patients. All the survived 50 patients were suitable for surgical reconstruction. STSG procedure was performed for 46 (76.6%) patients and flap reconstruction was performed for 4 (6.6%) patients. None of the patients had hyperbaric oxygen therapy (HBO). Length of hospitalization was 16 days (5-58) for all patients. A mean FGSI score at admission was of 5.02 ± 2.45 for survivors compared with 13.8 ± 4.53 for non-survivors. A mean FGSI score was of 4.56 ± 2.28 for survivors and 11.50 ± 2.63 in non-survivors during hospitalization.
Conclusion: Although FG has high mortality rates, appropriate management of the disease can reduce rates. Early diagnosis, surgical debridement, VAC application and antibiotherapy are the essentials for FG.

Key words: Fournier’s Gangrene, VAC, therapy, review


 
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How to Cite this Article
Pubmed Style

Basat SO, Ipekci T, Ceran F, Kisaarslan M, Bozkurt M. The management of Fournier’s gangrene: A review of 60 patients. Arch Clin Exp Surg. 2016; 5(3): 154-159. doi:10.5455/aces.20160127010450


Web Style

Basat SO, Ipekci T, Ceran F, Kisaarslan M, Bozkurt M. The management of Fournier’s gangrene: A review of 60 patients. http://www.ejmaces.com/?mno=205081 [Access: May 27, 2018]. doi:10.5455/aces.20160127010450


AMA (American Medical Association) Style

Basat SO, Ipekci T, Ceran F, Kisaarslan M, Bozkurt M. The management of Fournier’s gangrene: A review of 60 patients. Arch Clin Exp Surg. 2016; 5(3): 154-159. doi:10.5455/aces.20160127010450



Vancouver/ICMJE Style

Basat SO, Ipekci T, Ceran F, Kisaarslan M, Bozkurt M. The management of Fournier’s gangrene: A review of 60 patients. Arch Clin Exp Surg. (2016), [cited May 27, 2018]; 5(3): 154-159. doi:10.5455/aces.20160127010450



Harvard Style

Basat, S. O., Ipekci, T., Ceran, F., Kisaarslan, M. & Bozkurt, M. (2016) The management of Fournier’s gangrene: A review of 60 patients. Arch Clin Exp Surg, 5 (3), 154-159. doi:10.5455/aces.20160127010450



Turabian Style

Basat, Salih Onur, Tumay Ipekci, Fatih Ceran, Mehmet Kisaarslan, and Mehmet Bozkurt. 2016. The management of Fournier’s gangrene: A review of 60 patients. Archives of Clinical and Experimental Surgery (ACES), 5 (3), 154-159. doi:10.5455/aces.20160127010450



Chicago Style

Basat, Salih Onur, Tumay Ipekci, Fatih Ceran, Mehmet Kisaarslan, and Mehmet Bozkurt. "The management of Fournier’s gangrene: A review of 60 patients." Archives of Clinical and Experimental Surgery (ACES) 5 (2016), 154-159. doi:10.5455/aces.20160127010450



MLA (The Modern Language Association) Style

Basat, Salih Onur, Tumay Ipekci, Fatih Ceran, Mehmet Kisaarslan, and Mehmet Bozkurt. "The management of Fournier’s gangrene: A review of 60 patients." Archives of Clinical and Experimental Surgery (ACES) 5.3 (2016), 154-159. Print. doi:10.5455/aces.20160127010450



APA (American Psychological Association) Style

Basat, S. O., Ipekci, T., Ceran, F., Kisaarslan, M. & Bozkurt, M. (2016) The management of Fournier’s gangrene: A review of 60 patients. Archives of Clinical and Experimental Surgery (ACES), 5 (3), 154-159. doi:10.5455/aces.20160127010450





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