Fournier’s gangrene current approaches

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dc.contributor.authorOzkan, Omer F.
dc.contributor.authorKoksal, Neset
dc.contributor.authorAltinli, Ediz
dc.contributor.authorCelik, Atilla
dc.contributor.authorUzun, Mehmet A.
dc.contributor.authorCıkman, Oztekin
dc.contributor.authorAkbas, Alpaslan
dc.date.accessioned2025-01-27T18:56:05Z
dc.date.available2025-01-27T18:56:05Z
dc.date.issued2016
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractFournier’s gangrene is a rare but highly mortal infectious disease characterised by fulmi-nant 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, aetiologi-cal 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 colostomy was 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 com-plications. 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. © 2016, John Wiley and Sons Inc. All rights reserved.
dc.identifier.doi10.1111/IWJ.12357
dc.identifier.endpage716
dc.identifier.issn1742-4801
dc.identifier.issue5
dc.identifier.pmid25145578
dc.identifier.scopus2-s2.0-84906295073
dc.identifier.scopusqualityQ1
dc.identifier.startpage713
dc.identifier.urihttps://doi.org/10.1111/IWJ.12357
dc.identifier.urihttps://hdl.handle.net/20.500.12428/12851
dc.identifier.volume13
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherJohn Wiley and Sons Inc
dc.relation.ispartofInternational Wound Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_Scopus_20250125
dc.subjectFlexi-Seal Faecal Management System; Fournier’s gangrene; Negative pressure wound therapy
dc.titleFournier’s gangrene current approaches
dc.typeArticle

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