Necrotizing fasciitis in gynecologic and obstetric patients: A surgical emergency

Gallup, Donald G.; Freedman, Murray A.; Meguiar, Ramon V.; Freedman, Sandra N.; Nolan, Thomas E.

doi:10.1067/mob.2002.126000

Cited by 69 publications

(51 citation statements)

References 19 publications

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“…Necrotizing pelvic fasciitis is rarely described in the literature. 28,29 Sepsis and retropneumoperitoneum are reported after stapled hemorrhoidopexy 26,30,31 and developed in one of our patients who recovered with intravenous antibiotics. These reports may be considered anecdotal but are one of the main reasons for the expressed caution about the indiscriminate use of stapled hemorrhoidopexy.…”

Section: Discussionmentioning

confidence: 89%

Results, Outcome Predictors, and Complications after Stapled Transanal Rectal Resection for Obstructed Defecation

Gagliardi

Pescatori²,

Altomare

et al. 2008

Diseases of the Colon &Amp; Rectum

163

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Stapled transanal rectal resection achieved acceptable results at the cost of a high reoperation rate. Patients with puborectalis dyssynergia and lower bowel frequency may do worse because surgery does not address the causes of their constipation. Patients with large rectoceles, enteroceles, digitation, and a sense of incomplete evacuation may have more advanced pelvic floor disease for which stapled transanal rectal resection, which simply removes redundant tissue, may not be adequate. This, together with the complications observed in patients referred after stapled transanal rectal resection, suggests that this procedure should be performed by colorectal surgeons and in carefully selected patients.

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Section: Discussionmentioning

confidence: 89%

Results, Outcome Predictors, and Complications after Stapled Transanal Rectal Resection for Obstructed Defecation

Gagliardi

Pescatori²,

Altomare

et al. 2008

Diseases of the Colon &Amp; Rectum

163

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“…Pathophysiologic features include thrombosis of blood vessels, bacteria spreading along fascial planes, and limited infiltration of acute inflammatory cells. In a study by Gallup et al,146 88% of women hospitalized for necrotizing fasciitis were obese. More than 3 risk factors, including obesity, diabetes, hypertension, and advanced age, were predictive of 50% mortality due to this rapidly progressive infection.…”

Section: Bacterial Infectionsmentioning

confidence: 98%

Obesity and the skin: Skin physiology and skin manifestations of obesity

Yosipovitch

DeVore²,

Dawn³

2007

Journal of the American Academy of Dermatology

431

309

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“…(the species were not specified). All of the patients had an underlying medical condition that may have predisposed to invasive candidiasis, including: diabetes, obesity, alcoholism and malnutrition [8]. To our knowledge, no previous cases of Fournier's gangrene due to C. glabrata have yet been described.…”

Section: Discussionmentioning

confidence: 97%

Fournier's gangrene due toCandida glabrata

Loulergue¹,

Mahe²,

Bougnoux³

et al. 2008

Med Mycol

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Fournier's gangrene is a rare and serious event. Usual pathogens are bacteria of the skin and the digestive tract. Candida species are exceptionally involved, mostly Candida albicans. We report a patient with non-C. albicans Candida sp. Fournier's gangrene who survived with an appropriate antifungal therapy. Yeasts should be considered as emerging pathogens in pelvic infections due to the increase in long-term immunocompromised patients.

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Necrotizing fasciitis in gynecologic and obstetric patients: A surgical emergency

Cited by 69 publications

References 19 publications

Results, Outcome Predictors, and Complications after Stapled Transanal Rectal Resection for Obstructed Defecation

Results, Outcome Predictors, and Complications after Stapled Transanal Rectal Resection for Obstructed Defecation

Obesity and the skin: Skin physiology and skin manifestations of obesity

Fournier's gangrene due toCandida glabrata

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