The Role of Colostomy in Management of Fournier’s Gangrene | Journal of Advances in Medicine and ..

The colostomy is not utilised in the treatment of Fournier's gangrene on a regular basis. We compared two groups of patients: those who had faecal diversion and those who didn't. We attempted to determine the benefits of this therapy, as well as its impact on wound healing and hospitalisation time.

Patients and Methods: From January 1, 2005, to December 31, 2018, this is a 14-year retrospective research. We gathered 86 cases of Fournier's gangrenes, 30 of whom were helped by a derivative colostomy performed by the same surgical team. Aetiology and morbidity-mortality were used to divide the two groups.

Results: Perianal suppurations were the most common condition in the colostomy group, with risk factors such as diabetes, immunosuppressive medication, or patients over 70 years old being present in 75% of cases.

These characteristics are found in only 52% of the other group. The average length of stay in the colostomy group was 25 days compared to 32 days in the control group, and 67 percent of patients had a colostomy with hyperbaric oxygen therapy compared to 70 percent in the control group. The first group with colostomy had a 30% mortality rate, whereas the second group had a 12.5% mortality rate. Overall, the two groups had a 19% mortality rate.

Conclusions: Only 35% of patients in our study benefited from a colostomy: patients with severe deterioration and other disorders. However, the total fatality rate in our study is equivalent to that of teams who routinely perform colostomies.

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