Objective. The study aimed to describe the patient demographic characteristics, clinical factors, surgical interventions, and quality of care parameters in non-survivors and survivors of Fournier's gangrene (FG).

Methods. A total of 131 cases of Fournier's gangrene (FG) were included in a retrospective chart review in the Philippine General Hospital over 10 years using the Department of Surgery research database. We collected data for various direct and derived variables from the identified population. The primary outcome was mortality rate, while other factors studied were genital and colorectal manipulation, bowel diversion, laboratory parameters (white blood cell count, creatinine, hemoglobin).

Results. The mortality rate was 15%. Diabetes mellitus was common comorbidity among patients with Fournier's disease. The following were statistically more common in the non-survivor group: female sex, concomitant bowel diversion surgery. Admission data in the non-survivor group showed a lower serum hemoglobin, a higher serum creatinine, and an increased percentage of patients with an abnormal white blood cell count; these did not statistically differ between cohorts, however. The median time to first antibiotic infusion was six hours. The median time to surgery was 13 hours.

Conclusions. Among patients with Fournier's gangrene, the proportion of women and those undergoing bowel diversion was higher in those who did not survive. The time of infusion of antibiotics or time to surgery did not differ significantly between survivors and non-survivors.

No abstract available.
Fasciitis, Necrotizing

No abstract available.
Fasciitis, Necrotizing*

No abstract available.
Fasciitis, Necrotizing*

PURPOSE: To evaluate the results of extracorporeal shock wave therapy (ESWT) for patients with chronic proximal plantar fascitis. MATERIALS AND METHODS: Between April 2005 and April 2006, 35 cases (24 patients) who were followed more than 6 months were evaluated. By EvoTron(R), 2 sessions of ESWT (Group 1: 1200 and Group 2: 1500 shock waves/session of 0.12 mJ/mm2) were performed at 2 weeks interval. The mean age was 40.0 (range, 15-59) years. 13 patients were male and 11 patients were female. Visual analogue scale (VAS) on daily activity and a 100-point scoring system including 70 points for pain and 30 points for function were used. The clinical outcomes were rated as follows: excellent, no pain on daily activity; good, less than 50% of previous VAS; fair, 50-75% of previous VAS; or poor, more than 75% of previous VAS. Excellent and good were graded as satisfactory results. We compare clinical results between groups and evaluate the relationships between clinical results and duration of symptom, fascial thickening and previous steroid injection were evaluated. RESULTS: Overall satisfactory rate were 71.4%. There was no significant difference of clinical results between groups. And there were no significant difference between clinical results and duration of symtom, preoperative fascial thickening and previous steroid injection. CONCLUSIONS: ESWT for recalcitrant chronic proximal plantar fascitis is useful treatment method with high patient satisfaction and pain relief, but more long-term study must be needed.
Fasciitis ; Fasciitis, Plantar* ; Female ; Humans ; Male ; Patient Satisfaction ; Shock*

No abstract available.
Fasciitis*

No abstract available.
Cryptococcosis* ; Fasciitis, Necrotizing* ; Humans

No abstract available.
Breast* ; Fasciitis, Necrotizing* ; Transplants*

No abstract available.
Breast* ; Fasciitis, Necrotizing* ; Humans

No abstract available.
Fasciitis, Necrotizing* ; Sepsis* ; Vibrio*