Fournier's gangrene: a retrospective review of management outcomes and seasonal variations of clinical presentation

被引:3
作者
Nnabugwu, Ikenna I. [1 ]
Onumaegbu, Okechukwu O. [2 ]
Okolie, Louis T. [1 ]
机构
[1] Univ Nigeria Ituku Ozalla, Coll Med, Dept Surg, Urol Unit, PMB 01129, Enugu, Nigeria
[2] Univ Nigeria Ituku Ozalla, Coll Med, Dept Surg, Plast Surg Unit, PMB 01129, Enugu, Nigeria
关键词
Challenges of management; Fournier’ s gangrene; Outcomes; Seasonal variation; MORTALITY; EXPERIENCE; PREDICT;
D O I
10.1186/s12301-021-00168-4
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Background To review retrospectively the outcomes of management of Fournier's gangrene (FG) and to assess for possible seasonal variations in clinical presentations of FG to a referral hospital in a tropical African country. Methods The medical records of patients who presented with FG from February 2012 to December 2019 were reviewed. Of interest were age of patient, vital signs at presentation, site of gangrene, duration of hospital admission, and management interventions deployed. Analysis was with SPSS (R) version 21. Results Twenty-three of 28 medical records could be analyzed. Median Fournier's Gangrene Severity Index (FGSI) was 5 (IQR:3-10), the median Uludag-FGSI (UFGSI) was 7 (IQR:4-14). In 82.6%, the scrotum was the site of onset; in 8.7%, the lesion had spread beyond the pelvis. Diabetes mellitus (30.4%), HIV infection (13.0%) and nephropathy (17.4%) were identified co-morbidities. There were 2.4 +/- 1.0 debridement sessions and 1.5 +/- 1.3 transfused units of blood per patient. In 60.9%, the wound edges were undermined and apposed; in 17.4%, split skin grafting or fascio-cutaneous flap cover was deployed. In 17.4%, satisfactory wound closure needed more than 1 theater session. Mean duration of hospital admission was 51.4 +/- 19.4 days. No mortality was recorded. Majority (91.2%) presented in hot, dry months of October through March with peak in December. No case presented in the wet months of May through September. Conclusion Meager resources notwithstanding, FG management outcomes are generally satisfactory. Furthermore, FG is observed to present mostly in the hot, dry months of the year in the 8 years under review.
引用
收藏
页数:6
相关论文
共 25 条
  • [21] Sufiyan I., 2020, Matrix Science Medica, V4, P44
  • [22] Ugwumba FO, 2012, S AFR J SURG, V50, P16
  • [23] FOURNIER'S GANGRENE: A DREADFUL DISEASE
    Ullah, S.
    Khan, M.
    Jan, M. Asad Ullah
    [J]. SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND, 2009, 7 (03): : 138 - 142
  • [24] A contemporary case series of Fournier's gangrene at a Swiss tertiary care center-can scoring systems accurately predict mortality and morbidity?
    Wetterauer, C.
    Ebbing, J.
    Halla, A.
    Kuehl, R.
    Erb, S.
    Egli, A.
    Schaefer, D. J.
    Seifert, H. H.
    [J]. WORLD JOURNAL OF EMERGENCY SURGERY, 2018, 13
  • [25] Fournier's gangrene: an analysis of 80 patients and a novel scoring system
    Yilmazlar, T.
    Ozturk, E.
    Ozguc, H.
    Ercan, I.
    Vuruskan, H.
    Oktay, B.
    [J]. TECHNIQUES IN COLOPROCTOLOGY, 2010, 14 (03) : 217 - 223