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Management of Fournier's gangrene: review of 45 cases

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. The clinical and operative records of 45 patients with Fournier's gangrene during a 14-year period wer...

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Published in:	Surgery today (Tokyo, Japan) Japan), 2007-07, Vol.37 (7), p.558-563
Main Authors:	Basoglu, Mahmut, Ozbey, Isa, Atamanalp, Sabri Selcuk, Yildirgan, Mehmet Ilhan, Aydinli, Bulent, Polat, Ozkan, Ozturk, Gurkan, Peker, Kemal, Onbas, Omer, Oren, Durkaya
Format:	Article
Language:	English
Subjects:	Adult Aged Aged, 80 and over Debridement - methods Diagnosis, Differential Female Follow-Up Studies Fournier Gangrene - diagnosis Fournier Gangrene - epidemiology Fournier Gangrene - surgery Humans Incidence Magnetic Resonance Imaging Male Middle Aged Perineum Survival Rate Tomography, X-Ray Computed Turkey - epidemiology
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creator	Basoglu, Mahmut Ozbey, Isa Atamanalp, Sabri Selcuk Yildirgan, Mehmet Ilhan Aydinli, Bulent Polat, Ozkan Ozturk, Gurkan Peker, Kemal Onbas, Omer Oren, Durkaya
description	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. The clinical and operative records of 45 patients with Fournier's gangrene during a 14-year period were analyzed. 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. Surgery with extensive debridement of all necrotic tissue is the main stay of treatment.
doi_str_mv	10.1007/s00595-006-3391-6
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The clinical and operative records of 45 patients with Fournier's gangrene during a 14-year period were analyzed. 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. 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subjects	Adult Aged Aged, 80 and over Debridement - methods Diagnosis, Differential Female Follow-Up Studies Fournier Gangrene - diagnosis Fournier Gangrene - epidemiology Fournier Gangrene - surgery Humans Incidence Magnetic Resonance Imaging Male Middle Aged Perineum Survival Rate Tomography, X-Ray Computed Turkey - epidemiology
title	Management of Fournier's gangrene: review of 45 cases
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