Fournier’s Gangrene: A 4-Year Retrospective Study in a Tertiary Academic Hospital
Background: Fournier’s gangrene (FG) is a necrotizing fasciitis disease that affects the genital, perianal, and perineal regions. This study investigated the demography and treatment methods of patients with FG in a 4-year period in our hospital. Methods: Medical records of 14 patients with Fournier...
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Surgical Society of Kenya
2025-01-01
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| Series: | The Annals of African Surgery |
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| Online Access: | https://www.annalsofafricansurgery.com/fourniers-gangrene-a-4-year-retrospective-study |
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| author | Almas Nur Prawoto Iswinarno Doso Saputro Lynda Hariani Andreas Arkhipus Dewantara |
| author_facet | Almas Nur Prawoto Iswinarno Doso Saputro Lynda Hariani Andreas Arkhipus Dewantara |
| author_sort | Almas Nur Prawoto |
| collection | DOAJ |
| description | Background: Fournier’s gangrene (FG) is a necrotizing fasciitis disease that affects the genital, perianal, and perineal regions. This study investigated the demography and treatment methods of patients with FG in a 4-year period in our hospital. Methods: Medical records of 14 patients with Fournier’s gangrene who underwent treatment were analyzed retrospectively. Data on the patients were collected such as gender, age, length of stay (LOS), comorbidities, wound treatment, bacteriological cultures, and reconstructive procedures. Results: There was no significant correlation between age (p = 0.776), comorbid disease (p = 0.954), LOS or age (p = 0.221), comorbid disease (p = 0.928), and patient outcome. Wound treatment using negative pressure wound therapy (NPWT) was performed in 14% of the patients. Wound treatment had a statistically significant effect toward LOS (p = 0.044). Flaps were the most common reconstructive procedure (71.4%) followed by skin grafts (14%). Age and comorbid disease did not have an effect toward hospital LOS or patient outcome. The use of NPWT is likely related to the increased complexity of the lesion. Flaps provided a reliable method of reconstruction for patients. Conclusion: Patients who were treated with NPWT had a longer LOS compared to other methods. |
| format | Article |
| id | doaj-art-02a0ca5351314812808f4af7da699c4d |
| institution | Kabale University |
| issn | 1999-9674 2523-0816 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Surgical Society of Kenya |
| record_format | Article |
| series | The Annals of African Surgery |
| spelling | doaj-art-02a0ca5351314812808f4af7da699c4d2025-01-28T15:14:32ZengSurgical Society of KenyaThe Annals of African Surgery1999-96742523-08162025-01-012211320http://dx.doi.org/10.4314/aas.v22i1.3Fournier’s Gangrene: A 4-Year Retrospective Study in a Tertiary Academic HospitalAlmas Nur Prawoto0https://orcid.org/0000-0002-0707-1042Iswinarno Doso Saputro1https://orcid.org/0000-0003-1852-7145Lynda Hariani2https://orcid.org/0000-0003-4543-9546Andreas Arkhipus Dewantara3https://orcid.org/0009-0006-3786-009XDepartment of Plastic Reconstructive and Aesthetic Surgery, Airlangga University, Dr. Soetomo Hospital, Surabaya, IndonesiaDepartment of Plastic Reconstructive and Aesthetic Surgery, Airlangga University, Dr. Soetomo Hospital, Surabaya, IndonesiaDepartment of Plastic Reconstructive and Aesthetic Surgery, Airlangga University, Dr. Soetomo Hospital, Surabaya, IndonesiaDepartment of Plastic Reconstructive and Aesthetic Surgery, Airlangga University, Dr. Soetomo Hospital, Surabaya, IndonesiaBackground: Fournier’s gangrene (FG) is a necrotizing fasciitis disease that affects the genital, perianal, and perineal regions. This study investigated the demography and treatment methods of patients with FG in a 4-year period in our hospital. Methods: Medical records of 14 patients with Fournier’s gangrene who underwent treatment were analyzed retrospectively. Data on the patients were collected such as gender, age, length of stay (LOS), comorbidities, wound treatment, bacteriological cultures, and reconstructive procedures. Results: There was no significant correlation between age (p = 0.776), comorbid disease (p = 0.954), LOS or age (p = 0.221), comorbid disease (p = 0.928), and patient outcome. Wound treatment using negative pressure wound therapy (NPWT) was performed in 14% of the patients. Wound treatment had a statistically significant effect toward LOS (p = 0.044). Flaps were the most common reconstructive procedure (71.4%) followed by skin grafts (14%). Age and comorbid disease did not have an effect toward hospital LOS or patient outcome. The use of NPWT is likely related to the increased complexity of the lesion. Flaps provided a reliable method of reconstruction for patients. Conclusion: Patients who were treated with NPWT had a longer LOS compared to other methods.https://www.annalsofafricansurgery.com/fourniers-gangrene-a-4-year-retrospective-studyfournier’s gangrenewound treatmentnegative pressure wound therapydebridementreconstruction |
| spellingShingle | Almas Nur Prawoto Iswinarno Doso Saputro Lynda Hariani Andreas Arkhipus Dewantara Fournier’s Gangrene: A 4-Year Retrospective Study in a Tertiary Academic Hospital The Annals of African Surgery fournier’s gangrene wound treatment negative pressure wound therapy debridement reconstruction |
| title | Fournier’s Gangrene: A 4-Year Retrospective Study in a Tertiary Academic Hospital |
| title_full | Fournier’s Gangrene: A 4-Year Retrospective Study in a Tertiary Academic Hospital |
| title_fullStr | Fournier’s Gangrene: A 4-Year Retrospective Study in a Tertiary Academic Hospital |
| title_full_unstemmed | Fournier’s Gangrene: A 4-Year Retrospective Study in a Tertiary Academic Hospital |
| title_short | Fournier’s Gangrene: A 4-Year Retrospective Study in a Tertiary Academic Hospital |
| title_sort | fournier s gangrene a 4 year retrospective study in a tertiary academic hospital |
| topic | fournier’s gangrene wound treatment negative pressure wound therapy debridement reconstruction |
| url | https://www.annalsofafricansurgery.com/fourniers-gangrene-a-4-year-retrospective-study |
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