ArticleBMC surgery2020
A retrospective case series of Fournier's gangrene: necrotizing fasciitis in perineum and perianal region.
Article in BMC surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- The effect of hyperbaric oxygen therapy on the clinical outcomes of necrotizing soft tissue infections: a systematic review and meta-analysis.World journal of emergency surgery : WJES · 2023Pooled it
- Vacuum-assisted closure versus conventional dressing in necrotizing fasciitis: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2023Pooled it
- Manometric and Sonographic Examination of Anal Sphincter Complex, Fecal Incontinence and Quality of Life Outcomes in Fournier's Gangrene Survivors.Life (Basel, Switzerland) · 2026Article
- Fulminant truncal necrotizing fasciitis of perianal origin with mediastinal extension: a case report.BMC surgery · 2026Article
- Antimicrobial Activity of Acidifying Hyaluronic Acid-Starch Microfiber Dressings Against Clinical Isolates from Chronic Wounds.Journal of functional biomaterials · 2026Article
- A Rare Case of Ischial Tubercle Pressure Sore with Secondary Periperineal Necrotizing FasciitisEndocrine, metabolic & immune disorders drug targets · 2026Article
- Comparison between vacuum sealing drainage (VSD) and conventional dressing for fournier's gangrene: a single-centre retrospective study.BMC surgery · 2025Article
- Fournier's Gangrene in Neonates: A Case Report and Literature Review.Journal of plastic and reconstructive surgery · 2025Article
- A Rare Case of Necrotizing Soft Tissue Infection in the Labium Resulting From Candida glabrata.Cureus · 2025Article
- Article
- Modern Management of Fournier's Gangrene.Current urology reports · 2025Review
- Conventional versus Instillation Negative-Pressure Wound Therapy for Severe Soft Tissue Injury in Open Pelvic Fractures: A Retrospective Review.Yonsei medical journal · 2025Article
- Consensus on the Diagnosis and Treatment of Adult Necrotizing Fasciitis (2025 Edition).Burns & trauma · 2025Article
- The CRP/PAB ratio outperforms the LRINEC score in early diagnosis of Fournier's gangrene.Surgery in practice and science · 2024Article
- The novel use of a vacuum-assisted closure dressing in the management of Fournier's gangrene.Annals of the Royal College of Surgeons of England · 2024Article
- Variables that predict hospital stay and the outcome of Fournier gangrene at King Abdulaziz University Hospital: a retrospective study.BMC urology · 2024Article
- Fournier's gangrene in a female: A case report.SAGE open medical case reports · 2024Article
- Vacuum sealing drainage to treat Fournier's gangrene.BMC surgery · 2023Article
- Negative Pressure Wound Therapy for the Treatment of Fournier's Gangrene: A Rare Case with Rectal Fistula and Systematic Review of the Literature.Journal of personalized medicine · 2022Review
- Management of Fournier's gangrene during the Covid-19 pandemic era: make a virtue out of necessity.Basic and clinical andrology · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo describe the clinical characteristics and management for Fournier's gangrene. Experience summary and literature references are provided for future treatment improvement.
methodsWe retrospectively reviewed the cases diagnosed with Fournier's gangrene in our department from June 2016 to June 2019. Clinical data, including manifestation, diagnosis, treatment and outcomes for Fournier's gangrene were presented.
resultsThere were 12 patients enrolled in this paper, with the average age of 60 years old. It showed a male predominance with male-to-female ratio of 6:1. The average of laboratory risk indicator for necrotizing fasciitis (LRINEC) score was 10.1. Diabetes mellitus was the main predisposing disease. 11 patients received emergency debridement and 1 patient died of sepsis on the 2nd day after admission. The mortality rate was 8.3%. 6 cases developed complications, including sepsis, pneumonia, renal and heart failure. Negative pressure wound therapy (NPWT) was applied in 10 cases, while the rest 1 received normal daily dressing changes because of fecal contamination. Flaps were utilized in 2 patients to cover the defect, including one with advancement flap and one with pudendal-thigh flap, while others received secondary suture, secondary healing, skin graft or combined management. No relapse was observed during the follow-up visits.
conclusionsFournier's gangrene is a life-threatening infection that requires early diagnosis and surgery intervention. The predisposing disease, clinical manifestation and LRINEC score should be taken into comprehensive consideration, which is helpful for timely diagnosis. Moreover, further successful treatment depends on the aggressive debridement, broad-spectrum antibiotics therapy, wound management and closure choice.
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