Fournier Gangrene in a patient receiving chemo–radiation for rectal cancer

Pittaka, Maria; Georgiou, Chrysanthos; Polyviou, Petros; Kountourakis, P.; Loizou, Panayiotis; Constantinou, I.; Andreopoulos, Dimitrios; Vassiliou, Vassilios

doi:10.1093/omcr/omx101

Cited by 6 publications

(3 citation statements)

References 3 publications

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“…(1) The patients met the diagnostic criteria for esophageal cancer and were diagnosed with different degrees of hypertension. (2) The expected survival time of patients was no less than 6 months. (3) The patients received radical surgery for esophageal carcinoma.…”

Section: Inclusion Criteriamentioning

confidence: 99%

“…Esophageal cancer is a common malignant disease of esophageal epithelium [1]. Epidemiological studies have found that the prevalence of esophageal cancer in China is on the rise year by year, mostly in men aged 40-80 years old, with a higher incidence in urban areas than that in rural areas [2]. At present, the cause of esophageal cancer has not been found in the medical community, which may be related to nitrite, fungaltoxin, genetic factors, etc.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Cluster Nursing Mode Combined with Blood Pressure Regulation on Surgical Tolerance of Patients with Esophageal Cancer and Hypertension

Ai¹,

Yan²,

Gu³

2021

Oncologie

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Objective: To explore the effect of the cluster nursing mode combined with blood pressure regulation on the surgical tolerance of patients with esophageal cancer and hypertension. Methods: The clinical data of 86 patients with esophageal cancer and hypertension treated in our hospital (February 2016-February 2017) were retrospectively analyzed. The patients were randomly split into research group and reference group, with 43 cases in each group. The reference group received routine nursing, while the research group received cluster nursing combined with blood pressure regulation. The SBP, DBP and heart rates at D1 (at admission), D2 (2 h before surgery) and D3 (2 h after surgery) were compared between the two groups. In addition, the surgical tolerance, ESCA scores at 1 month after discharge, personality and behavior characteristics before and after intervention, and incidence of postoperative complications were also compared between the two groups. Results: With no obvious difference in SBP, DBP and heart rates at D1 between the two groups (P > 0.05), the SBP, DBP and heart rates at D2 and D3 in the research group were obviously lower compared with the reference group (P < 0.001). With no obvious difference in the number of patients with surgical tolerance of Grades I, II and III after intervention between two groups (P > 0.05), the number of patients with surgical tolerance of Grade IV in the research group was significantly higher than that in the reference group (P < 0.05). The scores of self-concept, self-care skills, self-care responsibility and health knowledge in the research group at 1 month after discharge were obviously higher compared with the reference group (P < 0.001). The scores of EPQ-L (lie), EPQ-P (psychoticism) and EPQ-N (neurosism) after intervention in both groups were obviously lower compared with those before intervention (P < 0.001), and the scores of EPQ-L, EPQ-P and EPQ-N after intervention in the research group were significantly lower than those in the reference group (P < 0.001). The total incidence of postoperative complications in the research group was significantly lower compared with the reference group (P < 0.05). Conclusion: Cluster nursing combined with blood pressure regulation can significantly improve the surgical tolerance of patients with esophageal cancer and hypertension and enhance the self-care ability after surgery, with obvious therapeutic effect, which is worthy of promotion and application.

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Section: Inclusion Criteriamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of Cluster Nursing Mode Combined with Blood Pressure Regulation on Surgical Tolerance of Patients with Esophageal Cancer and Hypertension

Ai¹,

Yan²,

Gu³

2021

Oncologie

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“…[2] Diabetes mellitus, hypertension, immunosuppression, alcoholism, chronic renal failure, obesity, cortisone use, malignancy, pulmonary diseases, and systemic disorders are known to be the predisposing factors for FG. [8,9] Others include urethral obstruction, instrumentation, urinary extravasation and trauma, morbid obesity, and poor hygiene. [7,10,11] Treatment is costly due to long duration of hospital stay, serial debridement, and antibiotics usually third-generation cephalosporins, aminoglycosides, and metronidazole, [5] while others may use relatively more expensive antibiotics such as meropenem and vancomycin.…”

mentioning

confidence: 99%

Management of Fournier’s Gangrene in a Low Resource Setting

Yunusa¹,

Cassell²,

Konneh³

et al. 2019

Clinic Res Urol

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BACKGROUND Fournier's gangrene (FG) represents a necrotizing infection of the skin and subcutaneous soft tissue of the external genitalia and perineum. [1,2] In 1764, Baurienne first described this condition, but in 1883, Jean Alfred Fournier defined it as an idiopathic, rapidly fulminating infection in previously healthy young patients and pointed out the known predisposing factors for the development of this type of gangrene. [1][2][3][4][5] Mortality ranges from 0 to 67% in some series (FG 5-7).Necrotizing fasciitis in the region of the perineum and genitalia should be termed FG, regardless of the etiology or the presence of infection because the prognosis and treatment are the same. [6]

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