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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2022 / Cilt: 28 - Sayı: 1

Are there factors in the disease of peroneal necrotizing fasciitis which should be used when choosing the anesthetic technique?: Descriptive analysis of a cohort from two centers

Ömer Faruk Boran
Bülent Katı
Veli Fahri Pehlivan
Maruf Boran
Evren Büyükfırat
Mehmet Buğra Bozan
Osman Barut
Mehmet Kutlu Demirkol
Halil Çiftçi
Pages
48–56
Publication Date
2022-11-06
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

In the evaluation of the factors affecting the selection of general anaes- thesia, a positive correlation was determined between an increase in FGSI (r=0.482, p=0.001) and the presence of sepsis (r=0.485, p=0.001) and gluteal region involvement (r=0.628, p

📌 3 Key Takeaways

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Objective & Hypothesis:BACKGROUND: This study aims to examine the factors affecting the selection of anaesthesia method in Fournier’s gangrene.
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Key Findings & Data:METHODS: A retrospective evaluation was made of 113 patients operated on because of Fournier’s gangrene between January-May 2019.
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Conclusion & Impact:In the evaluation of the factors affecting the selection of general anaes- thesia, a positive correlation was determined between an increase in FGSI (r=0.482, p=0.001) and the presence of sepsis (r=0.485, p=0.001) and gluteal region involvement (r=0.628, p
🔬Design:Research Article
📍Scope:2019 Verileri
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: This study aims to examine the factors affecting the selection of anaesthesia method in Fournier’s gangrene. METHODS: A retrospective evaluation was made of 113 patients operated on because of Fournier’s gangrene between January-May 2019. The operations were performed under spinal anaesthesia in 78 cases (Group S) and under general anaesthesia in 35 cases (Group G). The patients were evaluated regarding age, gender, the anaesthesia method used (spinal, general) anaesthetic agent applied, pres- ence of sepsis, and biochemical, hematological and inflammatory parameters. RESULTS: When the patients were evaluated regarding the Fournier Gangrene Severity Index (FGSI), patients in Group S had lower scores (p=0.001). Examination of the tomography images revealed that in 13 (37.1%) patients, air values were seen in the right or left gluteal area, or both, extending to the subcutaneous tissue. In the evaluation of the factors affecting the selection of general anaes- thesia, a positive correlation was determined between an increase in FGSI (r=0.482, p=0.001) and the presence of sepsis (r=0.485, p=0.001) and gluteal region involvement (r=0.628, p

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Cite This Article

Boran, Ö. F., Katı, B., Pehlivan, V. F., Boran, M., Büyükfırat, E., Bozan, M. B., Barut, O., Demirkol, M. K., Çiftçi, H. (2022). Are there factors in the disease of peroneal necrotizing fasciitis which should be used when choosing the anesthetic technique?: Descriptive analysis of a cohort from two centers. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 28 - Sayı: 1, 48–56. https://ajindex.com/articles/643970

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References (16)

  1. Aslanidis T, Myrou A, Giannakou-Peftoulidou M. Management of a young female patient with Fournier’s gangrene and Lemierre’s syndrome. Pan Afr Med J 2014;18:275
  2. Singh A, Ahmed K, Aydin A, Khan MS, Dasgupta P. Fournier’s gan- grene. A clinical review. Arch Ital Urol Androl 2016;88:157–64
  3. McCormack M, Valiquette AS, Ismail S. Fournier’s gangrene: A retro- spective analysis of 26 cases in a Canadian hospital and literature review. Can Urol Assoc J 2015;9:E407–10
  4. Sorensen MD, Krieger JN. Fournier’s Gangrene: epidemiology and out- comes in the general us population. Urol Int 2016;97:249–59
  5. Kim TK, Yoon JR, Bae YK. Anesthetic experience of patients with Fournier’s syndrome. Korean J Anesthesiol 2011;61:171–2
  6. Koitabashi T, Umemura N, Takino Y. A case of Fournier’s gangrene con- traindicating spinal anesthesia. Anesthesiology 2000;92:289–90
  7. Sato R, Tomioka T, Orii R, Yamada Y. Anesthetic management of four patients with Fournier syndrome. [Article in Japanese]. Masui 2008;57:355–7
  8. Guštin D. Sepsis in surgical patient. [Article in Croatian]. Acta Med Cro- atica 2015;69:161–6
  9. Enlund M, Berglund A, Andreasson K, Cicek C, Enlund A, Bergkvist L. The choice of anaesthetic--sevoflurane or propofol--and outcome from cancer surgery: a retrospective analysis. Ups J Med Sci 2014;119:251–61
  10. Laor E, Palmer LS, Tolia BM, Reid RE, Winter HI. Outcome prediction in patients with Fournier’s gangrene. J Urol 1995;154:89–92
  11. Canbaz H, Çağlıkülekçi M, Altun U, Dirlik M, Türkmenoğlu Ö, Taşdel- en B, et al. Fournier gangrene: Evaluation of risk factors and treat- ment cost-effectiveness of 18 cases. Ulus Travma Acil Cerrahi Derg 2010;16:71–6
  12. Clayton MD, Fowler JE Jr, Sharifi R, Pearl RK. Causes, presentation and survival of fifty-seven patients with necrotizing fasciitis of the male geni- talia. Surg Gynecol Obstet 1990;170:49–55
  13. Yuki K, Murakami N. Sepsis pathophysiology and anesthetic consider- ation. Cardiovasc Hematol Disord Drug Targets 2015;15:57–69
  14. Benjelloun el B, Souiki T, Yakla N, Ousadden A, Mazaz K, Louchi A, et al. Fournier’s gangrene: our experience with 50 patients and analysis of factors affecting mortality. World J Emerg Surg 2013;8:13
  15. Sen H, Bayrak O, Erturhan S, Borazan E, Koc MN. Is hemoglobin A1c level effective in predicting the prognosis of Fournier gangrene?. Urol Ann 2016;8:343–7
  16. Dahm P, Roland FH, Vaslef SN, Moon RE, Price DT, Georgiade GS, et al. Outcome analysis in patients with primary necro