The experience of treatment Furnier’s gangren complicated by peritonitis
https://doi.org/10.25199/2408-9613-2017-4-3-24-29
Abstract
Fournier’s gangrene (FG) is a rare but rather formidable disease that has been occurring more and more often in surgical hospitals of the country in the last decade. Such situation, in our opinion, is explained by an increase in the number of immunocompromised patients. A number of concomitant diseases is a predisposing factor for the development of FG: diabetes mellitus, obesity, cirrhosis, malignant tumors, alcoholism, drug addiction, glucocorticoids, condition after chemotherapy, nutritional deficiency. The course of the disease is accompanied by a high mortality rate – up to 88.0 %, and among the surviving patients, about 30.0 % need constant care after discharge from the hospital and more than 50.0 % – in repeated reconstructive and plastic surgeries on the genitals and perineum. Annually in our clinic, up to 5–6 people are hospitalized with this diagnosis. In this article, we present a rare clinical observation of the treatment a patient with FG, complicated by the development of peritonitis with a favorable outcome.
About the Authors
V. A. Kislyakov
State Budgetary Healthcare Organization «A. K. Eramishantsev City Clinical Hospital Moscow Health Department»
Russian Federation
Russian Federation
V. Y. Malyuga
State Budgetary Healthcare Organization «A. K. Eramishantsev City Clinical Hospital Moscow Health Department»
Russian Federation
Russian Federation
M. I. Bokarev
The Federal State Autonomous Educational Institution of Higher Education «I. M. Sechenov First Moscow State Medical University» Ministry of Health of the Russia
Russian Federation
Russian Federation
N. V. Tаruntaev
State Budgetary Healthcare Organization «A. K. Eramishantsev City Clinical Hospital Moscow Health Department»
Russian Federation
Russian Federation
K. V. Kravchenko
State Budgetary Healthcare Organization «A. K. Eramishantsev City Clinical Hospital Moscow Health Department»
Russian Federation
Russian Federation
M. V. Komarova
State Budgetary Healthcare Organization «A. K. Eramishantsev City Clinical Hospital Moscow Health Department»
Russian Federation
Russian Federation
V. V. Gogichashvili
State Budgetary Healthcare Organization «A. K. Eramishantsev City Clinical Hospital Moscow Health Department»
Russian Federation
Russian Federation
A. N. Zakharov
State Budgetary Healthcare Organization «A. K. Eramishantsev City Clinical Hospital Moscow Health Department»
Russian Federation
Russian Federation
A. M. Leonovich
State Budgetary Healthcare Organization «A. K. Eramishantsev City Clinical Hospital Moscow Health Department»
Russian Federation
Russian Federation
M. A. Chinazirov
State Budgetary Healthcare Organization «A. K. Eramishantsev City Clinical Hospital Moscow Health Department»
Russian Federation
Russian Federation
A. I. Borisov
State Budgetary Healthcare Organization «A. K. Eramishantsev City Clinical Hospital Moscow Health Department»
Russian Federation
Russian Federation
G. S. Vorobyov
State Budgetary Healthcare Organization «A. K. Eramishantsev City Clinical Hospital Moscow Health Department»
Russian Federation
Russian Federation
A. A. Artemyev
The Federal State Autonomous Educational Institution of Higher Education «I. M. Sechenov First Moscow State Medical University» Ministry of Health of the Russia
Russian Federation
Russian Federation
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Review
For citations:
Kislyakov V.A., Malyuga V.Y., Bokarev M.I., Tаruntaev N.V., Kravchenko K.V., Komarova M.V., Gogichashvili V.V., Zakharov A.N., Leonovich A.M., Chinazirov M.A., Borisov A.I., Vorobyov G.S., Artemyev A.A. The experience of treatment Furnier’s gangren complicated by peritonitis. Wounds and wound infections. The prof. B.M. Kostyuchenok journal. 2017;4(3):24-29. (In Russ.) https://doi.org/10.25199/2408-9613-2017-4-3-24-29
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