Fournier's gangrene in Patients Operated for Hemorrhoidal Prolapse in the Surgical Emergency Department.
Fournier's gangrene (FG) is a well known often fatal fasziitis of the pelvic floor following ano-rectal, urologic and gynecologic infections. Although rarely it is described as a complication of operative anal procedures and predisposing factors such as diabetes, alcoholism, immune-defects and...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Albanian Society for Trauma and Emergency Surgery
2023-07-01
|
| Series: | Albanian Journal of Trauma and Emergency Surgery |
| Subjects: | |
| Online Access: | https://journal.astes.org.al/index.php/AJTES/article/view/349 |
| _version_ | 1827899416499978240 |
|---|---|
| author | Enton Bollano Krenar Lilaj Dariel Thereska Agron Dogjani |
| author_facet | Enton Bollano Krenar Lilaj Dariel Thereska Agron Dogjani |
| author_sort | Enton Bollano |
| collection | DOAJ |
| description | Fournier's gangrene (FG) is a well known often fatal fasziitis of the pelvic floor following ano-rectal, urologic and gynecologic infections. Although rarely it is described as a complication of operative anal procedures and predisposing factors such as diabetes, alcoholism, immune-defects and consumptive diseases.
Current literature only briefly mentions the potential risk of FG after such a common surgical procedure. However, devastating complications occur more often than expected. This catastrophic complication without a predisposing factor is discussed along with a review of the literature.
The objective of this article is to provide updated and relevant information regarding the recognition, diagnosis and management of FG, from the general surgeon to the emergency department.
This article refers to two complicated cases of Fournier's gangrene. The patients underwent emergency surgical intervention with the diagnosis of hemorrhoidal prolapse with rectal bleeding and accompanying anemia…
Conclusion; The gold standard for treatment was found to be a combination of surgical debridement, broad-spectrum antibiotics, and the administration of intravenous fluids. Further, patient survival was found to be directly related to the time from diagnosis to treatment when they underwent surgical debridement.
The General surgeon must be vigilant for this condition and be aware of risk factors, prognostic indicators, and proper treatment protocols to recognize FG early and initiate appropriate management.
|
| first_indexed | 2024-03-12T23:17:43Z |
| format | Article |
| id | doaj.art-cdc836e1b1a14b6482e381af52a50ef0 |
| institution | Directory Open Access Journal |
| issn | 2521-8778 2616-4922 |
| language | English |
| last_indexed | 2024-03-12T23:17:43Z |
| publishDate | 2023-07-01 |
| publisher | Albanian Society for Trauma and Emergency Surgery |
| record_format | Article |
| series | Albanian Journal of Trauma and Emergency Surgery |
| spelling | doaj.art-cdc836e1b1a14b6482e381af52a50ef02023-07-16T23:50:58ZengAlbanian Society for Trauma and Emergency SurgeryAlbanian Journal of Trauma and Emergency Surgery2521-87782616-49222023-07-017210.32391/ajtes.v7i2.349Fournier's gangrene in Patients Operated for Hemorrhoidal Prolapse in the Surgical Emergency Department.Enton Bollano0Krenar Lilaj1Dariel Thereska2Agron Dogjani3Department of Surgery, Faculty of Medicine, University of Medicine, Tirana, ALBANIADepartment of Surgery, Faculty of Medicine, University of Medicine, Tirana, ALBANIADepartment of Surgery, Faculty of Medicine, University of Medicine, Tirana, ALBANIADepartment of Surgery, Faculty of Medicine, University of Medicine, Tirana, ALBANIAFournier's gangrene (FG) is a well known often fatal fasziitis of the pelvic floor following ano-rectal, urologic and gynecologic infections. Although rarely it is described as a complication of operative anal procedures and predisposing factors such as diabetes, alcoholism, immune-defects and consumptive diseases. Current literature only briefly mentions the potential risk of FG after such a common surgical procedure. However, devastating complications occur more often than expected. This catastrophic complication without a predisposing factor is discussed along with a review of the literature. The objective of this article is to provide updated and relevant information regarding the recognition, diagnosis and management of FG, from the general surgeon to the emergency department. This article refers to two complicated cases of Fournier's gangrene. The patients underwent emergency surgical intervention with the diagnosis of hemorrhoidal prolapse with rectal bleeding and accompanying anemia… Conclusion; The gold standard for treatment was found to be a combination of surgical debridement, broad-spectrum antibiotics, and the administration of intravenous fluids. Further, patient survival was found to be directly related to the time from diagnosis to treatment when they underwent surgical debridement. The General surgeon must be vigilant for this condition and be aware of risk factors, prognostic indicators, and proper treatment protocols to recognize FG early and initiate appropriate management. https://journal.astes.org.al/index.php/AJTES/article/view/349Fournier's gangrenenecrotizing fasciitisemergency department |
| spellingShingle | Enton Bollano Krenar Lilaj Dariel Thereska Agron Dogjani Fournier's gangrene in Patients Operated for Hemorrhoidal Prolapse in the Surgical Emergency Department. Albanian Journal of Trauma and Emergency Surgery Fournier's gangrene necrotizing fasciitis emergency department |
| title | Fournier's gangrene in Patients Operated for Hemorrhoidal Prolapse in the Surgical Emergency Department. |
| title_full | Fournier's gangrene in Patients Operated for Hemorrhoidal Prolapse in the Surgical Emergency Department. |
| title_fullStr | Fournier's gangrene in Patients Operated for Hemorrhoidal Prolapse in the Surgical Emergency Department. |
| title_full_unstemmed | Fournier's gangrene in Patients Operated for Hemorrhoidal Prolapse in the Surgical Emergency Department. |
| title_short | Fournier's gangrene in Patients Operated for Hemorrhoidal Prolapse in the Surgical Emergency Department. |
| title_sort | fournier s gangrene in patients operated for hemorrhoidal prolapse in the surgical emergency department |
| topic | Fournier's gangrene necrotizing fasciitis emergency department |
| url | https://journal.astes.org.al/index.php/AJTES/article/view/349 |
| work_keys_str_mv | AT entonbollano fourniersgangreneinpatientsoperatedforhemorrhoidalprolapseinthesurgicalemergencydepartment AT krenarlilaj fourniersgangreneinpatientsoperatedforhemorrhoidalprolapseinthesurgicalemergencydepartment AT darielthereska fourniersgangreneinpatientsoperatedforhemorrhoidalprolapseinthesurgicalemergencydepartment AT agrondogjani fourniersgangreneinpatientsoperatedforhemorrhoidalprolapseinthesurgicalemergencydepartment |