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Delayed stoma formation in Fournier's gangrene
Author(s) -
Bronder C. S.,
Cowey A.,
Hill J.
Publication year - 2004
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/j.1463-1318.2004.00663.x
Subject(s) - medicine , stoma (medicine) , gangrene , colostomy , surgery , debridement (dental) , fournier gangrene , surgical debridement , general surgery , necrotising fasciitis , fasciitis
Fournier's gangrene is traditionally treated with prompt surgical debridement and in many cases a diverting colostomy is also fashioned during the same procedure. We present four cases where stoma formation was delayed until the second look procedure. The physiological states at the time of either procedure were compared using POSSUM. The results showed an improvement in the physiological condition in all patients at the time of the second operation, suggesting that a delay can potentially improve prognosis in such cases.