Fournier’s gangrene: an analysis of 80 patients and a novel scoring system

Abstract

The power of the novel scoring system introduced in this study proves that in patients with Fournier's gangrene, the extent of the gangrene as well as the patient's age and physiological status have a significant effect on the outcome.

Fournier's Gangrene: Review of 120 Patients and Predictors of Mortality

“…Median debridement count was three (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12). Majority of the debridements were performed under spinoepidural anesthesia; however, twenty-seven patients (22.5%) required general anesthesia.…”

“…[1][2][3] These infections are typically polymicrobial, with both aerobic and anaerobic organisms present in the majority of cases. [3,4] In spite of the widely varying microorganisms in the etiology, its treatment is unique for all cases including emergency removal of the devitalized tissues, adequate resuscitation, and intravenous (iv) administration of wide-spectrum antibiotics.…”

“…[3,4] In spite of the widely varying microorganisms in the etiology, its treatment is unique for all cases including emergency removal of the devitalized tissues, adequate resuscitation, and intravenous (iv) administration of wide-spectrum antibiotics. [1][2][3][4][5][6][7] spectively maintained departmental FG database. Only adult patients admitted or referred to our department and diagnosed with FG were included in the study.…”

“…[3,[8][9][10][11] Factors affecting the outcomes are patient, disease, and surgeon related. [2] There are several scoring systems for predicting the risk of mortality of FG. Acute Physiology and Chronic Health Evaluation (APACHE) II scoring system is a commonly used method for predicting outcomes of critically ill patients with necrotizing soft tissue infection (NSTI).…”

“…[13] Uludag Fournier's Gangrene Severity Index (UFGSI) is a novel scoring system established by our department previously. [2] In this study, it was aimed to present the largest single institute serial of FG and determine the risk factors associated with mortality.…”