Presented at the 42nd World Congress of Surgery of the International Society of Surgery ISS/SIC, International Surgical Week ISW 2007, August 26–30, 2007.
What are the indications for a stoma in Fournier’s gangrene?*
Article first published online: 23 JUN 2010
© 2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland
Volume 13, Issue 9, pages 1044–1047, September 2011
How to Cite
Ozturk, E., Sonmez, Y. and Yilmazlar, T. (2011), What are the indications for a stoma in Fournier’s gangrene?. Colorectal Disease, 13: 1044–1047. doi: 10.1111/j.1463-1318.2010.02353.x
- Issue published online: 17 AUG 2011
- Article first published online: 23 JUN 2010
- Accepted manuscript online: 23 JUN 2010 12:00AM EST
- Received 20 January 2010; accepted 13 May 2010; Accepted Article online 23 June 2010
- Fournier’s gangrene;
- clinical outcomes;
Aim This study examined the indications for a stoma in patients with Fournier’s gangrene and its impact on outcome.
Method Patients with Fournier’s gangrene were retrospectively reviewed for indications for a stoma. Patients with and without a stoma were compared, based on demographics, disease severity, surgical therapy, length of hospital stay, clinical outcome and cost.
Results Forty-four patients (median age 57 years, range 28–77 years) were evaluated. Eighteen had a temporary stoma and 26 did not. A stoma was 5 times more likely in males. Patients with Fournier’s gangrene originating from an anorectal disorder received a stoma more often than patients with disease originating from an urogenital disorder. Clinical outcomes were similar for patients with or without a stoma. Stoma closure was associated with an extra cost of about $6650 per patient.
Conclusion Stoma creation in the management of Fournier’s gangrene was needed for selected patients. Having a stoma did not appear to affect outcomes and resulted in a significant increase in cost of care.