AIM:To determine the significance of enterostomy in the emergency management of Fournier gangrene.METHODS:The clinical data of 51 patients(49 men and 2 women)with Fournier gangrene who were treated at our hospital ove...AIM:To determine the significance of enterostomy in the emergency management of Fournier gangrene.METHODS:The clinical data of 51 patients(49 men and 2 women)with Fournier gangrene who were treated at our hospital over the past 12 years were retrospectively analyzed.The patients were divided into two groups according the surgical technique performed:enterostomy combined with debridement(the enterostomy group,n=28)or debridement alone(the control group,n=23).Patients in the enterostomy group received thorough debridement during surgery and adequate local drainage after surgery,as well as administration of broad-spectrum antibiotics.The clinical data and outcomes in both groups were analyzed.RESULTS:The surgical procedures were successful in both patient groups.In the enterostomy group,10 (35.8%)patients required skin grafting with a total of six debridement procedures.While in the control group,six(26.1%)patients required four debridement procedures.However,this difference was not statistically significant.Following surgery,the time to normal body temperature(6 d vs 8 d,P<0.05)and average length of hospital stay(14.3±7.8 d vs 20.1±8.9 d,P<0.05)were shorter in the enterostomy group.The case fatality rate was lower in the enterostomy group than that in the control group(3.6%vs 21.7%,P<0.05).CONCLUSION:Enterostomy can decrease the case fatality rate of patients with Fournier gangrene.展开更多
文摘AIM:To determine the significance of enterostomy in the emergency management of Fournier gangrene.METHODS:The clinical data of 51 patients(49 men and 2 women)with Fournier gangrene who were treated at our hospital over the past 12 years were retrospectively analyzed.The patients were divided into two groups according the surgical technique performed:enterostomy combined with debridement(the enterostomy group,n=28)or debridement alone(the control group,n=23).Patients in the enterostomy group received thorough debridement during surgery and adequate local drainage after surgery,as well as administration of broad-spectrum antibiotics.The clinical data and outcomes in both groups were analyzed.RESULTS:The surgical procedures were successful in both patient groups.In the enterostomy group,10 (35.8%)patients required skin grafting with a total of six debridement procedures.While in the control group,six(26.1%)patients required four debridement procedures.However,this difference was not statistically significant.Following surgery,the time to normal body temperature(6 d vs 8 d,P<0.05)and average length of hospital stay(14.3±7.8 d vs 20.1±8.9 d,P<0.05)were shorter in the enterostomy group.The case fatality rate was lower in the enterostomy group than that in the control group(3.6%vs 21.7%,P<0.05).CONCLUSION:Enterostomy can decrease the case fatality rate of patients with Fournier gangrene.
