{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T12:29:56Z","timestamp":1779366596984,"version":"3.53.0"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,9,25]],"date-time":"2017-09-25T00:00:00Z","timestamp":1506297600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Fournier's gangrene is a gas\u2010forming, necrotising soft tissue infection affecting the perineum. It spreads rapidly along the deep fascial planes and is associated with a high mortality rate. With a growing elderly population with comorbidities, the frequency of severe cases of Fournier's gangrene is expected to increase. We retrospectively reviewed 20 patients diagnosed with Fournier's gangrene at our institution from 2003 to 2014 and analysed data. Thirteen patients had diabetes mellitus, two had been diagnosed with liver cirrhosis, and four were chronic alcoholics. Of 15 patients admitted to an intensive care unit, 11 underwent colostomy, and 4 required skin grafts for wound healing. The wide wounds of two patients were healed using vacuum\u2010assisted closure (<jats:styled-content style=\"fixed-case\">VAC<\/jats:styled-content><jats:sup>\u00ae<\/jats:sup>) dressing without additional surgery. The mortality rate was 25%, and the patients whose Fournier's gangrene severity index (<jats:styled-content style=\"fixed-case\">FGSI<\/jats:styled-content>) score was higher than 9 points or whose blood urea nitrogen (BUN) level was higher than 50 mg\/<jats:styled-content style=\"fixed-case\">dl<\/jats:styled-content> had a poor prognosis. In order to treat Fournier's gangrene, aggressive surgical treatment, including wide debridement and stoma creation, should be considered as soon as possible to improve survival rates. Additionally, <jats:styled-content style=\"fixed-case\">VAC<\/jats:styled-content> dressing is helpful in healing the wide debridement wound without additional reconstructive surgery.<\/jats:p>","DOI":"10.1111\/iwj.12812","type":"journal-article","created":{"date-parts":[[2017,9,25]],"date-time":"2017-09-25T08:56:51Z","timestamp":1506329811000},"page":"1352-1358","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["Prognostic factors and treatment outcomes for patients with Fournier's gangrene: a retrospective study"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8022-5693","authenticated-orcid":false,"given":"Kyung Sook","family":"Hong","sequence":"first","affiliation":[{"name":"Department of Surgery and Critical Care Medicine Ewha Womans University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hee 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