Evaluation of risk factors and severity of a life threatening surgical emergency: Founder's gangrene (a report of 15 cases)
| dc.contributor.author | Kara E. | |
| dc.contributor.author | Müezzinoglu T. | |
| dc.contributor.author | Temeltas G. | |
| dc.contributor.author | Dinçer L. | |
| dc.contributor.author | Kaya Y. | |
| dc.contributor.author | Sakarya A. | |
| dc.contributor.author | Coskun T. | |
| dc.date.accessioned | 2024-07-22T08:22:05Z | |
| dc.date.available | 2024-07-22T08:22:05Z | |
| dc.date.issued | 2009 | |
| dc.description.abstract | Background: Fournier's gangrene is a rare, rapidly progressive, necrotising fasciitis of the external genitalia and perineum with high morbidity and mortality. Patients and Methods: 15 patients with Fournier's gangrene were enrolled. Gender, age, aetiology, predisposing factors, symptomatology, associated diseases, hospital stay, FGSI, and body surface area were analysed. Results: Ten males and five females were enrolled in the study. The mean age was 54 years (range 23-81). E.coli and acinetobacter were the common organisms cultured. All patients were treated with a common approach of resuscitation, broad-spectrum antibiotics, and wide surgical excision. Common predisposing factors included diabetes mellitus (73.3%), poor personal hygiene (60%), obesity (33.3%), psychosis (20%) and decubitus ulcers (13.2%). Whereas five (33.3%) patients developed synergistic gangrene of the scrotum secondary to anorectal disease, five (33.3%) had a urological source of infection. Mean BSA and FSGI scores were 15.93 ±3.13 and 6.02 ±0.95, respectively. Serum glucose > 140 mg/dl, the existence of septic shock on admission, the spread of gangrene to the perineum and abdominal wall (Groups C and D), BSA ≥: 24 cm2, a cutaneous source of infection and FGSI scores ≥ 7 were factors affecting mortality rates with statistical significance (p < 0.05). There was a direct correlation between the culture of mixed type micro-organisms and the cutaneous source of infection (p > 0.05). The extent of gangrene correlated with higher FGSI scores (≥ 7) (p < 0.05). Mortality and morbidity rates were as 20% (n = 3) and 60% (n = 9). Conclusion: Aggressive surgical debridement and combined antibiotherapy are essential in the management of Fournier's gangrene. FGSI and BSA are useful to assess the severity and prognosis of the disease. | |
| dc.identifier.DOI-ID | 10.1080/00015458.2009.11680404 | |
| dc.identifier.issn | 00015458 | |
| dc.identifier.uri | http://akademikarsiv.cbu.edu.tr:4000/handle/123456789/18917 | |
| dc.language.iso | English | |
| dc.publisher | ARSMB-KVBMG | |
| dc.title | Evaluation of risk factors and severity of a life threatening surgical emergency: Founder's gangrene (a report of 15 cases) | |
| dc.type | Article |