What are the indications for a stoma in Fournier's gangrene?
Date
2011-09
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Wiley
Abstract
Aim This study examined the indications for a stoma in patients with Fournier's gangrene and its impact on outcome.
Method Patients with Fournier's gangrene were retrospectively reviewed for indications for a stoma. Patients with and without a stoma were compared, based on demographics, disease severity, surgical therapy, length of hospital stay, clinical outcome and cost.
Results Forty-four patients (median age 57 years, range 28-77 years) were evaluated. Eighteen had a temporary stoma and 26 did not. A stoma was 5 times more likely in males. Patients with Fournier's gangrene originating from an anorectal disorder received a stoma more often than patients with disease originating from an urogenital disorder. Clinical outcomes were similar for patients with or without a stoma. Stoma closure was associated with an extra cost of about $6650 per patient.
Conclusion Stoma creation in the management of Fournier's gangrene was needed for selected patients. Having a stoma did not appear to affect outcomes and resulted in a significant increase in cost of care.
Description
Bu çalışma, 26-30 Ağustos 2007 tarihleri arasında Montreal[Kanada]’da 2007 yılında düzenlenen 42. World Congress of Surgery of the International-Society-of-Surgery (ISS/SIC)/International Surgery Week (ISW)’da bildiri olarak sunulmuştur.
Keywords
Gastroenterology & hepatology, Surgery, Fournier's gangrene, Stoma, Clinical outcomes, Costs, Surgery, Management
Citation
Öztürk, E. vd. (2011). "What are the indications for a stoma in Fournier's gangrene?". Colorectal Disease, 13(9), 1044-1047.