Article

Fournier's gangrene: evaluation of 68 patients and analysis of prognostic variables.

General Surgery Clinic, Ataturk Training and Research Hospital, Izmir, Turkey.
Journal of Postgraduate Medicine (Impact Factor: 0.97). 54(2):102-5.
Source: PubMed

ABSTRACT Fournier's gangrene (FG) is a rapidly progressing acute gangrenous infection of the anorectal and urogenital area.
The objectives of this study were to investigate patients with FG and to determine risk factors that affect mortality.
Retrospective clinical study.
Clinical presentations and outcomes of surgical treatments were evaluated in 68 patients with FG. Statistical Analysis Used: Chi-square, Student's t -test, and logistic regression test.
Mean age of patients was 54 and female-to-male ratio was 9:59. Among the predisposing factors, diabetes mellitus (DM) was the most common ( n =24, 35.3%), and sepsis on admission was detected in 31 (45.6%) and 15 (22.1%) patients, respectively. Seven (10.3%) patients died. Using logistic regression test, Fournier's Gangrene Severity Index (FGSI)> 9, DM and sepsis on admission were found as prognostic factors.
FG has a high mortality rate, especially in patients with DM and sepsis. An FGSI value> 9 indicates high mortality rate.

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May 27, 2014