Research Article
Volume 7 Issue 10 - 2020
Fournier’s Disease. A New Treatment
Morelos Adolfo García Sánchez1*, Mireya De La Fuente González2, Oswaldo Díaz González3, Elizabeth Mendoza Portillo4, Luis Andres Saenz Romero5, Fausto Romero Vallejo6, Alejandro Badillo Bravo7, María Isabel Estrada Rodríguez8, Jesús Alan Ureña Álvarez9, Arturo Reyes Martínez10, José Juan Lozano Nuevo11, Eduardo Hermes Cisneros Nava5 and César Hernández Martínez5
1Colonic and Rectal Surgeon and General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, Mexico
2General Surgeon, Surgical Department at “Dr. Gaudencio Gonzalez Garza” General Hospital Specialized Medical Unit, “La Raza”, National Medical Center, Mexican Social Security Institute, National Autonomous University of Mexico, México City, México
2General Surgeon, Surgical Department at “Dr. Gaudencio Gonzalez Garza” General Hospital Specialized Medical Unit, “La Raza”, National Medical Center, Mexican Social Security Institute, National Autonomous University of Mexico, México City, México
3Internal Medicine and Rheumatologist, Department Internal Medicine at Hospital National Medical Center “20 de November ISSSTE”, National Autonomous University of Mexico, México City, México
4Internal Medicine and Critical Medicine Care, Intensive Care Unit Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, Mexico
55General Surgeon, Surgic Department at “Dr. Ruben Lener" and General Hospital, Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, Mexico
6General Surgeon and Gastrointestinal Endoscopy, Endoscopy Department at ABC Medical Center, National Autonomous University of Mexico, México City, Mexico
7General Surgeon, Surgical Department at “Dr. Belisario Dominguez” Specialty Hospital, Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México
8General Surgeon, Surgical Department at “Dr. Gaudencio Gonzalez Garza” General Hospital Specialized Medical Unit, “La Raza”, National Medical Center, Mexican Social Security Institute, National Autonomous University of Mexico, México City, México
9General Surgeon and Gastrointestinal Endoscopy, Surgical Department at “Cristus Muguerza” Hospital, National Autonomous University of Mexico, Reynosa City Tamaulipas State, México
10Orthopedic and Traumatology, Traumatology Department at “Juárez de México” Hospital, Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México
11Internal Medicine, Internal Medicine Department at “Ticoman” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México
*Corresponding Author: Morelos Adolfo García Sánchez, Colonic and Rectal Surgeon and General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, Mexico.
Received: August 26, 2020; Published: September 24, 2020




Abstract

Background: Fournier's gangrene is a pathology with a high fatality rate, of unknown etiology and with a very unpredictable prognosis. Described by Jean Alfred Fournier in 1883. The term “Necrotizing Fasciitis” was introduced by Wilson in 1952. It is defined as a soft tissue infection that involves the muscular fasciae of the genital, anal and perineal areas, with a natural evolution that is rapidly progressive and deadly.

Objective: Describe the experience that has been evolutionary in the treatment paradigm for Fournier's disease. Analyze deductively and critically about the myths of Fournier's disease.

Method: It is a study with a retrospective, longitudinal, observational, descriptive and comparative design; using descriptive biostatistics procedures. The records of all patients treated surgically for Fournier's disease in the Surgery and/or Colon and Rectum departments of six second and third level health hospitals in Mexico City and the State of Mexico were reviewed.

Results: A total of 214 patients were analyzed, of which 188 were male (88%) and 26 were female (12%). With an age range of 16 to 79 years, average of 46 years and a bimodal mode of 44 and 38 years.

Discussion: Fournier's disease is a pathology that has undergone diagnostic-therapeutic changes over the years, with the intention of improving, of being competent; The various treatment modalities have had very mixed results; Therefore, the search for a conduct that regulates in a standardized, ethical, scientific, efficient, practical way, with low costs and that is based on scientific evidence, must be continued.

Conclusion: The speed with which the surgical intervention is carried out is essential; therapeutic delay deteriorates the prognosis of the patient, wide and aggressive debridement is essential in the first surgical procedure.

 

Keywords: Fournier; Fasciitis Necrotizing; Debridement Therapeutics; Forecast; Surgical

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Citation: Morelos Adolfo García Sánchez., et al. “Fournier’s Disease. A New Treatment”. EC Gastroenterology and Digestive System 7.10 (2020): 69-86.

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