Fournier's Gangrene
Conditions
Keywords
Surgery, Infection, tissue, scrotal
Brief summary
Type of study: Case series. Universe of study: Records of patients with Fournier syndrome treated using the 3-stage reconstructive technique assigned and treated at the Mexican Social Security Institute: Regional General Hospital No. 1 of Mérida, Yucatán, during the years 2021-2024. Population under study: Patients diagnosed with Fournier syndrome.
Detailed description
The first surgical stage consists of damage limitation and extension analysis. In the second surgical stage, it was necessary to wash and prepare the area to be remodeled with the joint creation of the testicular resting space delimited by the fascia of the adductor muscles of the proximal lower limb. Finally, in the third surgical stage, the wound is remodeled and addressed. The surgery was performed in patients with extensive involvement that could not be resolved with minor surgery. The 3-stage reconstructive technique can be summarized as follows: 1. Analysis and limitation of the tissue injury. Bilateral testicular and spermatic cord dissection. 2. Formation of cutaneous flaps and bilateral inguinal neocavity. 3. Perineal-scrotal reconstruction with fascial facing and cutaneous flaps
Interventions
PROCEDUREreconstructive technique
1. Analysis and limitation of the tissue injury. Bilateral testicular and spermatic cord dissection. 2. Formation of cutaneous flaps and bilateral inguinal neocavity. 3. Perineal-scrotal reconstruction with fascial facing and cutaneous flaps
Sponsors
Instituto Mexicano del Seguro Social
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
3-stage reconstructive technique
Eligibility
Sex/Gender
MALE
Age
40 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
\- patients diagnosed with perineal necrotizing fasciitis (Fournier syndrome), at the General Hospital Zone No. 1, aged between 40-85 years, who have undergone surgery
Exclusion criteria
* Those who could not be followed up due to incomplete records. Those who did not complete the three procedures due to mortality associated with primary pathologies independent of necrotizing fasciitis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | From the diagnosis to the surgery and 30 day post op | To determine the presence of mortality in patients with Fournier syndrome who underwent surgery using the 3-stage reconstructive technique. |
Countries
Mexico
Outcome results
None listed