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Fournier's gangrene: a retrospective clinical study on forty-one patients.
ANZ J Surg. 2005 Dec; 75(12):1055-8.AJ

Abstract

BACKGROUND

Fournier's gangrene, first described by Dr Jean Alfred Fournier in 1883, still has a high mortality rate. The prognosis and outcome of such patients were analysed.

METHODS

Forty-one patients with Fournier's gangrene were reviewed on the parameters of age, sex, aetiological agents, predisposing factors, treatment modalities and outcomes.

RESULTS

Although early intervention and careful treatment was carried out, nine of 41 patients (21.9%) died as a result of complications of septicemia. Among the treatment modalities, there were extensive debridement, drainage, excisions of the skin and fascia, colostomy procedure, extensive antibiotic treatment and hyperbaric oxygen therapy. Although a combination of different treatment modalities were used, the mortality rate was 21.9%.

CONCLUSIONS

Fournier's gangrene is still a severe disease. Today, hyperbaric oxygen treatment is very effective in the treatment of this disease.

Authors+Show Affiliations

Department of General Surgery, Cerrahpasa Medical School, Istanbul, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16398810

Citation

Ayan, Fadil, et al. "Fournier's Gangrene: a Retrospective Clinical Study On Forty-one Patients." ANZ Journal of Surgery, vol. 75, no. 12, 2005, pp. 1055-8.
Ayan F, Sunamak O, Paksoy SM, et al. Fournier's gangrene: a retrospective clinical study on forty-one patients. ANZ J Surg. 2005;75(12):1055-8.
Ayan, F., Sunamak, O., Paksoy, S. M., Polat, S. S., As, A., Sakoglu, N., Cetinkale, O., & Sirin, F. (2005). Fournier's gangrene: a retrospective clinical study on forty-one patients. ANZ Journal of Surgery, 75(12), 1055-8.
Ayan F, et al. Fournier's Gangrene: a Retrospective Clinical Study On Forty-one Patients. ANZ J Surg. 2005;75(12):1055-8. PubMed PMID: 16398810.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fournier's gangrene: a retrospective clinical study on forty-one patients. AU - Ayan,Fadil, AU - Sunamak,Oguzhan, AU - Paksoy,Sabri M, AU - Polat,Semra S, AU - As,Abdullah, AU - Sakoglu,Nevin, AU - Cetinkale,Oguz, AU - Sirin,Feridun, PY - 2006/1/10/pubmed PY - 2006/4/15/medline PY - 2006/1/10/entrez SP - 1055 EP - 8 JF - ANZ journal of surgery JO - ANZ J Surg VL - 75 IS - 12 N2 - BACKGROUND: Fournier's gangrene, first described by Dr Jean Alfred Fournier in 1883, still has a high mortality rate. The prognosis and outcome of such patients were analysed. METHODS: Forty-one patients with Fournier's gangrene were reviewed on the parameters of age, sex, aetiological agents, predisposing factors, treatment modalities and outcomes. RESULTS: Although early intervention and careful treatment was carried out, nine of 41 patients (21.9%) died as a result of complications of septicemia. Among the treatment modalities, there were extensive debridement, drainage, excisions of the skin and fascia, colostomy procedure, extensive antibiotic treatment and hyperbaric oxygen therapy. Although a combination of different treatment modalities were used, the mortality rate was 21.9%. CONCLUSIONS: Fournier's gangrene is still a severe disease. Today, hyperbaric oxygen treatment is very effective in the treatment of this disease. SN - 1445-1433 UR - https://www.unboundmedicine.com/medline/citation/16398810/Fournier's_gangrene:_a_retrospective_clinical_study_on_forty_one_patients_ L2 - https://doi.org/10.1111/j.1445-2197.2005.03609.x DB - PRIME DP - Unbound Medicine ER -