{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T20:08:51Z","timestamp":1774728531783,"version":"3.50.1"},"reference-count":22,"publisher":"Index Copernicus","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2019,11,21]]},"abstract":"<jats:p>Introduction. Fournier gangrene (FG) is life - threatening condition, defined as the necrotizing fascitis of perineum and can spread to the adjacent areas. It is rare disease and infection is caused by mixed bacterial flora, seldom by fungal infection. Risk factors are: male sex, diabetes, hypertension, malignant neoplasms, alcoholism, immunospression. Material and methods. The analysis of four group patients treateted for Fournier gangrene was made about diagnostic and therapeutic process, assessment of prognosis based on Fournier\u2019s Gangrene Severity Index). Results. All patients were males. Average age at the moment of diagnosis was 60 years. All of them had comorbidities resulting with the higher risk of susceptibility to FG. Morbitity was 50%, despite of all of patients had less than 9 points in FGSI. Discussion. The FG, despite of better diagnostic tools and technological progres remaines the significant clinical issue because of the mortality - 80%. \u201eThe golden standard\u201d is surgical excision of necrotic tissues, antibiotics support, equation of fluid, electrolytes and base \u2013 acid balance, level of glycemia is very important. The treating results were assessed on the base of FGSI. The significance has the moment of performing the surgical intervention \u2013 it is proven, that should be carried out during 24 hours. The hyperbaric oxygen therapy is controversial. Seem to be appropriate if the infection is caused by anaerobic bacteria. Conclusions. Fournier syndrome is significant clinical issue. Its treatment requires early surgical approach with exicision of necrotic tissues, antibiotics support and treatment of hyperbaric oxygen in some cases.<\/jats:p>","DOI":"10.5604\/01.3001.0013.5894","type":"journal-article","created":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T09:02:13Z","timestamp":1581066133000},"page":"55-60","source":"Crossref","is-referenced-by-count":5,"title":["Fournier gangrene \u2013 a challenge for the surgeon"],"prefix":"10.5604","volume":"93","author":[{"given":"Jakub","family":"Kuchinka","sequence":"first","affiliation":[{"name":"General, Oncological and Endocrine Surgery Clinic, Provincial Hospital in Kielce, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaros\u0142aw","family":"Matykiewicz","sequence":"additional","affiliation":[{"name":"General, Oncological and Endocrine Surgery Clinic, Provincial Hospital in Kielce, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iwona","family":"Wawrzycka","sequence":"additional","affiliation":[{"name":"General, Oncological and Endocrine Surgery Clinic, Provincial Hospital in Kielce, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Kot","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, Jan Kochanowski University in Kielce, Department of Surgery and Surgical Nursing with a Laboratory of Scientific Research and a Laboratory of Genetics, Kielce, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W\u0142odzimierz","family":"Karcz","sequence":"additional","affiliation":[{"name":"Department of General and Oncological Surgery of St. Rafa\u0142 Provincial Specialist Hospital in Czerwona Gora, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stanis\u0142aw","family":"G\u0142uszek","sequence":"additional","affiliation":[{"name":"General, Oncological and Endocrine Surgery Clinic, Provincial Hospital in Kielce, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","reference":[{"key":"194532r1","unstructured":"Fournier J.A.: Gangrene foudroyante de la verge. 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