Fournier's gangrene: diagnostic approach and therapeutic challenge
| dc.contributor.author | Xeropotamos, N. S. | en |
| dc.contributor.author | Nousias, V. E. | en |
| dc.contributor.author | Kappas, A. M. | en |
| dc.date.accessioned | 2015-11-24T19:15:26Z | |
| dc.date.available | 2015-11-24T19:15:26Z | |
| dc.identifier.issn | 1102-4151 | - |
| dc.identifier.uri | https://olympias.lib.uoi.gr/jspui/handle/123456789/21514 | |
| dc.rights | Default Licence | - |
| dc.subject | Adolescent | en |
| dc.subject | Adult | en |
| dc.subject | Aged | en |
| dc.subject | Aged, 80 and over | en |
| dc.subject | Debridement/methods | en |
| dc.subject | Female | en |
| dc.subject | Follow-Up Studies | en |
| dc.subject | Fournier Gangrene/*diagnosis/mortality/*surgery | en |
| dc.subject | Genital Diseases, Male/diagnosis/surgery | en |
| dc.subject | Greece | en |
| dc.subject | Humans | en |
| dc.subject | Male | en |
| dc.subject | Middle Aged | en |
| dc.subject | Perineum | en |
| dc.subject | Retrospective Studies | en |
| dc.subject | Risk Assessment | en |
| dc.subject | Scrotum | en |
| dc.subject | Severity of Illness Index | en |
| dc.subject | Surgical Procedures, Operative/*methods | en |
| dc.subject | Survival Rate | en |
| dc.subject | Treatment Outcome | en |
| dc.title | Fournier's gangrene: diagnostic approach and therapeutic challenge | en |
| heal.abstract | OBJECTIVE: To identify the prognostic variables and to assess the role of aggressive management in patients with Fournier's gangrene. DESIGN: Retrospective study. SETTING: University hospital, Greece. SUBJECTS: 11 patients (9 men and 2 women) with Fournier's gangrene admitted between April 1986 and December 2000. INTERVENTIONS: Early aggressive debridements. MAIN OUTCOME MEASURES: Postoperative course, hospital stay, outcome, morbidity, and mortality. RESULTS: The mean age was 65 years (range 17-90) and the mean (SD) duration of hospital stay was 35 (8) days (range 8-62). The aetiology was identified in 8 patients and idiopathic in 3. Predisposing factors (diabetes, n = 4; heart failure, agranulocytosis, and alcohol misuse, n = 1 each) were identified in 6 patients. All patients except one had raised serum glucose concentrations and low serum albumin values. On admission the white cell count was >15 x 10(9)/L in 10, serum sodium <135 mmol/L, mean (SD) serum creatinine 124 (27) micromol/L, and C-reactive protein >150 mg/L was found in all patients. 3/9 male patients required partial excision of the scrotum. Temporary faecal diversion was done for 3 patients. A mean of 3 aggressive repeated debridements (range: 3-6) were required. Nine patients survived and two patients died. CONCLUSION: Rapid and accurate diagnosis remains the key to achieving a successful outcome. Abnormal laboratory variables on admission may suggest the diagnosis. Early, repeated, aggressive debridement is essential for a successful outcome. | en |
| heal.access | campus | - |
| heal.fullTextAvailability | TRUE | - |
| heal.identifier.primary | 10.1080/11024150252884304 | - |
| heal.identifier.secondary | http://www.ncbi.nlm.nih.gov/pubmed/12113277 | - |
| heal.journalName | Eur J Surg | en |
| heal.journalType | peer-reviewed | - |
| heal.language | en | - |
| heal.publicationDate | 2002 | - |
| heal.recordProvider | Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής | el |
| heal.type | journalArticle | - |
| heal.type.el | Άρθρο Περιοδικού | el |
| heal.type.en | Journal article | en |
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