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Fornier gangrene

Abdullah Oguz, Metehan Gümüş, Ahmet Turkoglu, Zübeyir Bozdağ, Burak Veli Ülger, Elif Agaçayak, Abdullah Böyük
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)...
May 2015: International Surgery
Adam Bryce Weinfeld, Patrick Kelley, Eser Yuksel, Pankaj Tiwari, Patrick Hsu, Joshua Choo, Larry H Hollier
This paper presents 4 consecutive cases using negative-pressure dressings (VAC) to bolster skin grafts in male genital reconstruction. In this series reconstruction followed 1 case of tumor ablation and 3 cases of debridement of abscesses or Fornier's gangrene. The VAC was applied circumferentially to the penis to secure skin grafts either directly to the penile shaft or to facilitate skin grafting to the scrotum. Graft areas ranged from 75 to 250 cm. All cases resulted in successful genital wound coverage; minor complications are described...
February 2005: Annals of Plastic Surgery
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