Journal of Postgraduate Medicine
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Year : 2008  |  Volume : 54  |  Issue : 2  |  Page : 102-105  

Fournier俟Q製 gangrene: Evaluation of 68 patients and analysis of prognostic variables

HR Unalp1, E Kamer1, H Derici1, K Atahan1, U Balci2, C Demirdoven3, O Nazli1, MA Onal1 
1 General Surgery Clinic, Ataturk Training and Research Hospital, Izmir, Turkey
2 Urology Clinic, Ataturk Training and Research Hospital, Izmir, Turkey
3 Plastic and Reconstructive Surgery Clinic, Ataturk Training and Research Hospital, Izmir, Turkey

Correspondence Address:
H R Unalp
Ataturk Egitim ve Arastirma Hastanesi 4, Genel Cerrahi Klinigi, 35820 Izmir
Turkey

Context: Fournier俟Q製 gangrene (FG) is a rapidly progressing acute gangrenous infection of the anorectal and urogenital area. Aims: The objectives of this study were to investigate patients with FG and to determine risk factors that affect mortality. Settings and Design: Retrospective clinical study. Materials and Methods: Clinical presentations and outcomes of surgical treatments were evaluated in 68 patients with FG. Statistical Analysis Used: Chi-square, Student俟Q製 t -test, and logistic regression test. Results: 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俟Q製 Gangrene Severity Index (FGSI) >9, DM and sepsis on admission were found as prognostic factors. Conclusions: FG has a high mortality rate, especially in patients with DM and sepsis. An FGSI value >9 indicates high mortality rate.


How to cite this article:
Unalp H R, Kamer E, Derici H, Atahan K, Balci U, Demirdoven C, Nazli O, Onal M A. Fournier's gangrene: Evaluation of 68 patients and analysis of prognostic variables.J Postgrad Med 2008;54:102-105


How to cite this URL:
Unalp H R, Kamer E, Derici H, Atahan K, Balci U, Demirdoven C, Nazli O, Onal M A. Fournier's gangrene: Evaluation of 68 patients and analysis of prognostic variables. J Postgrad Med [serial online] 2008 [cited 2020 Apr 6 ];54:102-105
Available from: http://www.jpgmonline.com/article.asp?issn=0022-3859;year=2008;volume=54;issue=2;spage=102;epage=105;aulast=Unalp;type=0


 
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