View : 3 Download: 0

Prognostic factors and treatment outcomes for patients with Fournier's gangrene: a retrospective study

Title
Prognostic factors and treatment outcomes for patients with Fournier's gangrene: a retrospective study
Authors
Hong K.S.Yi H.J.Lee R.-A.Kim K.H.Chung S.S.
Ewha Authors
정순섭
SCOPUS Author ID
정순섭scopus
Issue Date
2017
Journal Title
International Wound Journal
ISSN
1742-4801JCR Link
Citation
vol. 14, no. 6, pp. 1352 - 1358
Keywords
Fournier's gangrenenegative-pressure wound therapysoft tissue infection
Publisher
Blackwell Publishing Ltd
Indexed
SCIE; SCOPUS WOS scopus
Abstract
Fournier's gangrene is a gas-forming, necrotising soft tissue infection affecting the perineum. It spreads rapidly along the deep fascial planes and is associated with a high mortality rate. With a growing elderly population with comorbidities, the frequency of severe cases of Fournier's gangrene is expected to increase. We retrospectively reviewed 20 patients diagnosed with Fournier's gangrene at our institution from 2003 to 2014 and analysed data. Thirteen patients had diabetes mellitus, two had been diagnosed with liver cirrhosis, and four were chronic alcoholics. Of 15 patients admitted to an intensive care unit, 11 underwent colostomy, and 4 required skin grafts for wound healing. The wide wounds of two patients were healed using vacuum-assisted closure (VAC®) dressing without additional surgery. The mortality rate was 25%, and the patients whose Fournier's gangrene severity index (FGSI) score was higher than 9 points or whose blood urea nitrogen (BUN) level was higher than 50 mg/dl had a poor prognosis. In order to treat Fournier's gangrene, aggressive surgical treatment, including wide debridement and stoma creation, should be considered as soon as possible to improve survival rates. Additionally, VAC dressing is helpful in healing the wide debridement wound without additional reconstructive surgery. © 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd
DOI
10.1111/iwj.12812
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
Files in This Item:
There are no files associated with this item.


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE