Abstract
Fournier’s gangrene is a potentially fatal necrotizing fasciitis affecting the perineum and genital area. The usual treatment includes prompt surgical debridement and, in many cases, a diverting colostomy. We present two cases of Fournier’s gangrene that were treated with extensive local debridement and rectal diversion with a new device for faecal matter management, avoiding the need for a colostomy.
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Ravo B, Amato A, Bianco V et al (2002) Complications after stapled hemorrhoidectomy: can they be prevented? Tech Coloproctol 6:83–88
Ravo B (2005) Septic complications after stapled hemorrhoidectomy. J Am Coll Surg 201:155–156
Ersay A, Yilmaz G, Akgun Y et al (2007) Factors affecting mortality of Fournier’s gangrene: review of 70 patients. ANZ J Surg 77:43–48
Norton KS, Johnson LW, Perry T et al (2002) Management of Fournier’s gangrene: an eleven year retrospective analysis of early recognition, diagnosis, and treatment. Am Surg 68:709–713
Pizzorno R, Bonini F, Donelli A et al (1997) Hyperbaric oxygen therapy in the treatment of Fournier’s disease in 11 male patients. J Urol 158:837–840
Moorthy K, Rao PP, Supe AN (2000) Necrotising perineal infection: a fatal outcome of ischiorectal fossa abscesses. J R Coll Surg Edinb 45:281–284
Korkut M, Icoz G, Dayangac M et al (2003) Outcome analysis in patients with Fournier’s gangrene: report of 45 cases. Dis Colon Rectum 46:649–652
Bronder CS, Cowey A, Hill J (2004) Delayed stoma formation in Fournier’s gangrene. Colorectal Dis 6:518–520
Padmanabhan A, Stern M, Wishin J et al (2007) Clinical evaluation of a flexible fecal incontinence management system. Am J Crit Care 16:384–393
Bordes J, Goutorbe P, Asencio Y et al (2008) A non-surgical device for faecal diversion in the management of perineal burns. Burns 34:840–844
Ravo B (1988) The Coloshield. Dis Colon Rectum 31:579–580
Kosorok P (1995) Colostomy tube: new device for continent colostomy. Dis Colon Rectum 38:760–763
Pescatori M (1997) Use of a rubber tube to protect endoanal sutures. Tech Coloproctol 5:32–35
Knoop M, Vorwerk T (2003) Protection of rectal anastomoses by transanal decompressive tubing. Tech Coloproctol 7:122
Page BP, Boyce SA, Deans C et al (2008) Significant rectal bleeding as a complication of a fecal collecting device: report of a case. Dis Colon Rectum 51:1427–1429
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Estrada, O., Martinez, I., Del Bas, M. et al. Rectal diversion without colostomy in Fournier’s gangrene. Tech Coloproctol 13, 157–159 (2009). https://doi.org/10.1007/s10151-009-0474-6
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DOI: https://doi.org/10.1007/s10151-009-0474-6