Fournier's gangrene current approaches

Basit Öğe Kaydı
dc.authoridAkbas, Alpaslan/0000-0003-1470-5952
dc.contributor.authorOzkan, Omer F.
dc.contributor.authorKoksal, Neset
dc.contributor.authorAltinli, Ediz
dc.contributor.authorCelik, Atilla
dc.contributor.authorUzun, Mehmet A.
dc.contributor.authorCikman, Oztekin
dc.contributor.authorAkbas, Alpaslan
dc.date.accessioned2025-01-27T21:04:05Z
dc.date.available2025-01-27T21:04:05Z
dc.date.issued2016
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractFournier's gangrene is a rare but highlymortal infectious disease characterised by fulminant necrotising fasciitis involving the genital and perineal regions. The objective of this study is to analyse the demographics, clinical feature and treatment approaches as well as outcomes of Fournier's gangrene. Data were collected retrospectively from medical records and operative notes. Patient data were analysed by demographics, aetiological factors, clinical features, treatment approaches and outcomes. Twelve patients (five female and seven male) were enrolled in this study. The most common aetiology was perianal abscess (41.6%). Wound cultures showed a mixture of microorganisms in six (50%) patients. For faecal diversion, while colostomywas performed in six cases (50%), Flexi-Seal was used in two cases (16.6%). In four patients (33.4%), no faecal diversion was performed. Negative pressure wound therapy (NPWT) system was effective in the last four patients (33.4%). The mean hospitalisation period in patients who used NPWT was 18 days, while it was 20 days in the others. NPWT in Fournier's gangrene is a safe dressing method. It promotes granulation formation. Flexi-Seal faecal management is an alternative method to colostomy and provides protection from its associated complications. The combination of two devices (Flexi-Seal and NPWT) is an effective and comfortable method in the management of Fournier's gangrene in appropriate patients.
dc.identifier.doi10.1111/iwj.12357
dc.identifier.endpage716
dc.identifier.issn1742-4801
dc.identifier.issn1742-481X
dc.identifier.issue5
dc.identifier.pmid25145578
dc.identifier.startpage713
dc.identifier.urihttps://doi.org/10.1111/iwj.12357
dc.identifier.urihttps://hdl.handle.net/20.500.12428/27547
dc.identifier.volume13
dc.identifier.wosWOS:000387667600070
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofInternational Wound Journal
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectFlexi-Seal Faecal Management System
dc.subjectFournier's gangrene
dc.subjectNegative pressure wound therapy
dc.titleFournier's gangrene current approaches
dc.typeArticle

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu