Management of Fournier's Gangrene: Review of 45 Cases |
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Authors: | Mahmut Basoglu Isa Ozbey Sabri Selcuk Atamanalp Mehmet Ilhan Yildirgan Bulent Aydinli Ozkan Polat Gurkan Ozturk Kemal Peker Omer Onbas Durkaya Oren |
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Affiliation: | (1) Department of General Surgery, School of Medicine, Ataturk University, 25070 Erzurum, Turkey;(2) Department of Urology, School of Medicine, Ataturk University, 25070 Erzurum, Turkey;(3) Department of Radiology, School of Medicine, Ataturk University, 25070 Erzurum, Turkey |
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Abstract: | Purpose Fournier's gangrene is a fatal synergistic infectious disease with necrotizing fasciitis of the perineum and abdominal wall along with the scrotum and penis in men and the vulva in women. Methods The clinical and operative records of 45 patients with Fournier's gangrene during a 14-year period were analyzed. Results The etiology of the infection was identified in 39 patients. The most common causes were colorectal diseases and urogenital diseases. Four patients died with an overall mortality of 8.8%. The mortality rate was higher in patients with diabetes mellitus, but it was not statistically different. The age, duration of the symptoms, and the presence of rectal abscess were not found to be significant factors regarding mortality rate. Conclusions Surgery with extensive debridement of all necrotic tissue is the main stay of treatment. |
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Keywords: | Fournier's gangrene Necrotizing fasciitis Prognosis |
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