ArticleWorld journal of gastroenterology2014
Enterostomy can decrease the mortality of patients with Fournier gangrene.
Article in World journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Relationship between diversional stoma and mortality rate in Fournier's gangrene: a systematic review and meta-analysis.Langenbeck's archives of surgery · 2021Pooled it
- Surgical fecal diversionWorld journal of critical care medicine · 2026Article
- Impact of fecal diversion in Perineal Necrotizing Soft Tissue Infection on disease survival: A large retrospective study.Surgery in practice and science · 2024Article
- Fournier's gangrene and fecal diversion. When, in which patients, and what type should I perform?Langenbeck's archives of surgery · 2023Article
- Fournier Gangrene Management: Is a Stoma Mandatory?Cureus · 2023Article
- Global outcomes and lessons learned in the management of Fournier's gangrene from high-volume centres: findings from a literature review over the last two decades.World journal of urology · 2022Review
- Management of Fournier's gangrene during the Covid-19 pandemic era: make a virtue out of necessity.Basic and clinical andrology · 2022Article
- Practical Review of the Current Management of Fournier's Gangrene.Plastic and reconstructive surgery. Global open · 2022Review
- Progress in Multidisciplinary Treatment of Fournier's Gangrene.Infection and drug resistance · 2022Review
- Fournier's Gangrene and Intravenous Drug Abuse: an Unusual Case Report and Review of The Literature.Open medicine (Warsaw, Poland) · 2019Article
- Fournier's Gangrene: Lessons Learned from Multimodal and Multidisciplinary Management of Perineal Necrotizing Fasciitis.Frontiers in surgery · 2017Article
- Rectal cancer and Fournier's gangrene - current knowledge and therapeutic options.World journal of gastroenterology · 2015Review
- Fournier's Gangrene: A Summary of 10 Years of Clinical Experience.International surgery · 2015Article
- Necrotizing Fasciitis Secondary to a Primary Suture for Anoperineal Trauma by Motorcycle Accident in a Healthy Adult.Case reports in emergency medicine · 2015Article
- A novel surgical debridement technique for the treatment of Fournier's gangrene.Asian journal of andrologyArticle
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo determine the significance of enterostomy in the emergency management of Fournier gangrene.
methodsThe 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.
resultsThe 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).
conclusionEnterostomy can decrease the case fatality rate of patients with Fournier gangrene.
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