Gracilis Muscle Interposition to Fill the Perianal Dead Space May Decrease Hospital Length of Stay in Fournier's Gangrene

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dc.contributor.authorIsmayilzade, Majid
dc.contributor.authorDadaci, Mehmet
dc.contributor.authorKendir, Munur Selcuk
dc.contributor.authorInce, Bilsev
dc.date.accessioned2024-02-23T14:23:27Z
dc.date.available2024-02-23T14:23:27Z
dc.date.issued2023
dc.departmentNEÜen_US
dc.description.abstractPurposeThe treatment of Fournier's gangrene (FG) includes aggressive debridement of the affected necrotic area, broad-spectrum antibiotic therapy, and reconstructive procedures, respectively. One of the main reasons of unfavorable outcomes in FG surgery is that the dead space occurs in the perianal region because of destruction of fascias and soft tissues. In this study, we aimed to evaluate the results of gracilis muscle flap transposition to fill the FG-associated perianal dead spaces.MethodsPatients treated for FG-associated dead spaces in their perianal region between the years 2017 and 2021 were included in the study. The patients who underwent the pedicled gracilis muscle flap surgery were included in group 1, whereas group 2 consisted of the patients with no additional surgical procedure for dead spaces but only the reconstruction of the soft tissue defects. Demographic data (age, sex), comorbid diseases, localization and length of perianal dead space, and management method for the soft tissue defects and complications were noted. The length of hospital stay and discharge day after surgery were also recorded.ResultsIn group 1, the mean duration of hospital stay was 23.5 +/- 5.0 (range, 14-48) days, whereas the mean period between the surgery and discharge was 5.1 +/- 2.2 (range, 3-12) days. These numbers were 31 +/- 8.3 (range, 19-58) days and 12.7 +/- 6.1 (range, 7-22) days in group 2, respectively. Statistical comparison of the periods between the surgery and discharge was found to be significantly different (P = 0.022). The duration of hospital stay was also shorter in the patients with gracilis muscle flap (P = 0.039).ConclusionsPerianal dead spaces accompanying many of the patients with FG provide appropriate conditions for bacterial colonization. Filling these pouches by the gracilis muscle flap prevented the progression of infection and enabled the patients to return to their normal life earlier.en_US
dc.identifier.doi10.1097/SAP.0000000000003517
dc.identifier.endpage362en_US
dc.identifier.issn0148-7043
dc.identifier.issn1536-3708
dc.identifier.issue4en_US
dc.identifier.pmid36921330en_US
dc.identifier.scopus2-s2.0-85153804595en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage356en_US
dc.identifier.urihttps://doi.org/10.1097/SAP.0000000000003517
dc.identifier.urihttps://hdl.handle.net/20.500.12452/13552
dc.identifier.volume90en_US
dc.identifier.wosWOS:000974897100017en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofAnnals Of Plastic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFournier's Gangreneen_US
dc.subjectPerianal Dead Spaceen_US
dc.subjectGracilis Muscle Flapen_US
dc.titleGracilis Muscle Interposition to Fill the Perianal Dead Space May Decrease Hospital Length of Stay in Fournier's Gangreneen_US
dc.typeArticleen_US

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