ArticleFrontiers in surgery2026
Comparison of diverting colostomy and fecal management catheter in fournier gangrene: a retrospective cohort study.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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10 authors.
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Abstract
Objective: This study aimed to compare the effectiveness of colostomy and fecal management catheterization, two fecal diversion methods, in the treatment of Fournier gangrene (FG) and to determine which method offers greater advantages. Materials and methods: A retrospective study was conducted on 54 patients who underwent surgical debridement and fecal diversion for FG at our hospital's General Surgery Clinic between January 2014 and October 2024. Patients were divided into colostomy ( Results: The mean age was 65.07 ± 13.45 years in the colostomy group and 57.92 ± 14.41 years in the Flexi-Seal group ( Conclusion: Both fecal diversion methods demonstrated comparable effectiveness in FG treatment. After adjusting for age and FGSI score, the observed differences in length of hospital stay, debridement number, and mortality were substantially attenuated-with adjusted mortality OR approaching 1.0 (0.95)-confirming that the diversion method was not an independent predictor of outcomes. The numerically higher mortality in the colostomy group was explained by older patient age and higher disease severity. Both methods can be safely employed; patient-specific factors and clinical experience should guide method selection.
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