Evidence map›Paper›PMID 25859652›Full record

ArticleInternational surgery2015

Fournier's Gangrene: A Summary of 10 Years of Clinical Experience.

Abdullah Oguz, Metehan Gümüş, Ahmet Turkoglu, Zübeyir Bozdağ, Burak Veli Ülger, Elif Agaçayak, Abdullah Böyük

Open access · bronzeAbstract read
In one paragraph

Article in International surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Surgical fecal diversionWorld journal of critical care medicine · 2026
    Article
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  5. Review
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  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Practical Review of the Current Management of Fournier's Gangrene.Plastic and reconstructive surgery. Global open · 2022
    Review
  14. Review
  15. Article
  16. Article
  17. Fournier Gangrene in Men and Women: Appearance on CT, Ultrasound, and MRI and What the Surgeon Wants to Know.Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes · 2020
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Abdullah Oguz1 Department of General Surgery, Dicle University Medical Faculty, Diyarbakır, Turkey.
Metehan Gümüş
Ahmet Turkoglu
Zübeyir Bozdağ
Burak Veli Ülger
Elif Agaçayak
Abdullah Böyük
Dicle University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to present our clinical experience with FG treatment. Fournier's gangrene (FG) is a rare but serious disease characterized by progressive necrosis in the genitourinary and perineal region. The retrospective study included 43 patients. Patients were divided into 2 groups as survivors and nonsurvivors. Included in the analysis were data pertaining to demographics, predisposing factors, comorbidities, results of bacteriologic analyses, number of debridements, duration of treatment, FG Severity Index (FGSI) score, fecal diversion methods (trephine ostomy or Flexi-Seal Fecal Management System-FMS), and dressing methods (wet or negative aspiration system). In the nonsurvivor group, urea, WBC, and age were significantly higher, whereas albumin, hematocrit, platelet count, and length of hospital stay (LOHS) were significantly lower compared to the survivor group. Mean FGSI was lower in survivors in comparison with nonsurvivors (5.00 ± 1.86 and 10.00 ± 1.27, respectively; P < 0.001). We conclude that FGSI is an important predictor in the prognosis of FG. Vacuum-assisted closure (VAC) should be performed in compliant patients in order to enhance patient comfort by reducing pain and the number of dressings. Fecal diversion should be performed as needed, preferably by using FMS. The trephine ostomy should be the method of choice in cases where an ostomy is necessary.

Indexed as

ComorbidityDebridementFemaleFournier GangreneHumansMalePrognosisRetrospective StudiesRisk FactorsSeverity of Illness IndexSurvival RateTreatment OutcomeTurkeyFournier's gangreneMortalityTrephine ostomyVacuum-assisted closure

Identifiers

PMID25859652
PMCPMC4452988
OpenAlexW2002744584

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.