Original – Gangrena de Fournier
Gangrena de Fournier. Análisis descriptivo de 20 casos y revisión de la bibliografía científica
Fournier's gangrene. Descriptive analysis of 20 cases and literature review
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Análisis descriptivo de 20 casos y revisión de la bibliografía científica" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "873" "paginaFinal" => "880" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Raúl Montoya Chinchilla, Emilio Izquierdo Morejon, Bogdan Nicolae Pietricicâ, Enrique Pellicer Franco, José Luis Aguayo Albasini, Bernardino Miñana López" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Raúl Montoya" "apellidos" => "Chinchilla" "email" => array:1 [ 0 => "drraulmontoya@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "Emilio Izquierdo" "apellidos" => "Morejon" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "Bogdan Nicolae" "apellidos" => "Pietricicâ" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "Enrique Pellicer" "apellidos" => "Franco" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 4 => array:3 [ "nombre" => "José Luis Aguayo" "apellidos" => "Albasini" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 5 => array:3 [ "nombre" => "Bernardino Miñana" "apellidos" => "López" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Urología, Hospital General Universitario J.M. Morales Meseguer, Murcia, España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Cirugía General, Hospital General Universitario J.M. Morales Meseguer, Murcia, España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Fournier's gangrene. Descriptive analysis of 20 cases and literature review" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-01-20" "fechaAceptado" => "2009-06-09" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec89434" "palabras" => array:2 [ 0 => "Gangrena de Fournier" 1 => "Fascitis necrosante" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec89433" "palabras" => array:2 [ 0 => "Fournier's gangrene" 1 => "Necrotising fasciitis" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p class="elsevierStyleSimplePara elsevierViewall">La gangrena de Fournier es una fascitis necrosante que afecta habitualmente a la zona genital externa y perineal, con eventual extensión al abdomen, los miembros inferiores e incluso el tórax, con alta letalidad, que debe tratarse de manera agresiva en las primeras horas tras el diagnóstico. Se considera que enfermedades debilitantes como la diabetes mellitus u la obesidad favorecen su aparición. El factor desencadenante más frecuente es el absceso perianal.</p> <span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Realizar un profundo análisis descriptivo sobre los factores de riesgo y las afecciones predisponentes de la gangrena de Fournier durante toda la historia de nuestro centro, durante los últimos 12 años, así como revelar la tasa de mortalidad de éstos y el número medio de reintervenciones realizadas.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">El estudio realizado analiza, de manera observacional y retrospectiva, a 20 pacientes diagnosticados de gangrena de Fournier, según criterios de inclusión clínicos, en el Hospital General Universitario J.M. Morales Meseguer entre 1997 y 2008.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La gran mayoría de los pacientes revisados eran varones, con una edad media de 61 años. Todos tenían una importante afección orgánica de base; destacaba la diabetes mellitus. La estancia media hospitalaria fue de 25,7 días. Fallecieron 2 pacientes y la mortalidad global fue del 10%.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La gangrena de Fournier es una entidad que puede ser letal, que está favorecida por distintos factores debilitantes, cuya causa desencadenante es una enfermedad perirrectal o urogenital que no ha sido tratada correctamente. Debido a su pronóstico grave, un diagnóstico temprano y una intervención multidisciplinaria adecuada, temprana y agresiva son esenciales para una buena evolución.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p class="elsevierStyleSimplePara elsevierViewall">Fournier's gangrene is a necrotising fasciitis that usually affects the external genitalia and perineal area and may extend to the abdomen, lower limbs and chest. It hasa high fatality rate and must be treated aggressively within a few hours of being diagnosed. It is believed that debilitating diseases such as diabetes mellitus or obesity are conducive to its appearance. A perianal abscess is the most common trigger.</p> <span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To conduct a thorough descriptive analysis of risk factors and predisposing conditions for Fournier's gangrene based on our institution's experience over the past 12 years and reveal the mortality rate for those factors as well as the average number of reoperations performed.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">This observational retrospective study examines 20 patients, according to clinical inclusion criteria, who were diagnosed with Fournier's gangrene, and treated in J.M. Morales Meseguer Hospital between 1997 and 2008.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The vast majority of patients reviewed were males, with an average age of 61 years. All patients had a significant history of organic pathology, particularly diabetes mellitus. The average hospital stay was 25.7 days. 2 patients died, and the overall mortality rate was 10%.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Fournier's gangrene is an entity that can be lethal and it is favoured by several debilitating factors. It is triggered by a urogenital or perirectal disease that has not been treated properly. Because of its poor prognosis, early diagnosis and an appropriate early and aggressive multidisciplinary intervention are essential for proper recovery.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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Tseng" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Microbiol Immunol Infect" "fecha" => "2007" "volumen" => "40" "paginaInicial" => "500" "paginaFinal" => "506" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18087630" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S1474442204008270" "estado" => "S300" "issn" => "14744422" ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fournier's gangrene: a review of 1726 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "N. Eke" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1046/j.1365-2168.2000.01497.x" "Revista" => array:7 [ "tituloSerie" => "Br J Surg" "fecha" => "2000" "volumen" => "87" "paginaInicial" => "718" "paginaFinal" => "728" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10848848" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S1474442208702394" "estado" => "S300" "issn" => "14744422" ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fourniers gangrene" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "S.P. Patankar" 1 => "S.K. 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Chien" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.bjps.2006.09.005" "Revista" => array:6 [ "tituloSerie" => "J Plast Reconstr Aesthet Surg" "fecha" => "2007" "volumen" => "60" "paginaInicial" => "1055" "paginaFinal" => "1059" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17662467" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/02104806/0000003300000008/v2_201304261001/S021048060972875X/v2_201304261001/es/main.assets" "Apartado" => array:4 [ "identificador" => "6264" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Original - Gangrena de fournier" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02104806/0000003300000008/v2_201304261001/S021048060972875X/v2_201304261001/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021048060972875X?idApp=UINPBA00004N" "pdfAlternativo" => array:1 [ 0 => array:3 [ "idioma" => "en" "documentoPdf" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/file/02104806/addon/S021048060972875X/S300/en/292v33n08a13142630pdf001_2.pdf" "portada" => "292v33n08a13142630pdf001_2.png" ] ] ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 0 | 2 | 2 |
| 2024 Octubre | 0 | 13 | 13 |
| 2024 Septiembre | 0 | 3 | 3 |
| 2024 Agosto | 0 | 4 | 4 |
| 2024 Julio | 0 | 9 | 9 |
| 2024 Junio | 0 | 3 | 3 |
| 2024 Mayo | 0 | 5 | 5 |
| 2024 Abril | 0 | 24 | 24 |
| 2024 Marzo | 0 | 36 | 36 |
| 2024 Febrero | 0 | 19 | 19 |
| 2024 Enero | 0 | 9 | 9 |
| 2023 Diciembre | 0 | 23 | 23 |
| 2023 Noviembre | 0 | 29 | 29 |
| 2023 Octubre | 0 | 42 | 42 |
| 2023 Septiembre | 0 | 21 | 21 |
| 2023 Agosto | 0 | 7 | 7 |
| 2023 Julio | 0 | 54 | 54 |
| 2023 Junio | 0 | 6 | 6 |
| 2023 Mayo | 0 | 1 | 1 |
| 2023 Abril | 0 | 2 | 2 |
| 2023 Marzo | 0 | 15 | 15 |
| 2023 Febrero | 0 | 1 | 1 |
| 2023 Enero | 0 | 4 | 4 |
| 2022 Diciembre | 0 | 8 | 8 |
| 2022 Noviembre | 0 | 13 | 13 |
| 2022 Octubre | 0 | 11 | 11 |
| 2022 Septiembre | 0 | 28 | 28 |
| 2022 Agosto | 0 | 16 | 16 |
| 2022 Julio | 0 | 2 | 2 |
| 2022 Junio | 0 | 3 | 3 |
| 2022 Mayo | 0 | 3 | 3 |
| 2022 Abril | 0 | 6 | 6 |
| 2022 Marzo | 0 | 7 | 7 |
| 2022 Enero | 0 | 5 | 5 |
| 2021 Diciembre | 0 | 6 | 6 |
| 2021 Noviembre | 0 | 7 | 7 |
| 2021 Octubre | 0 | 10 | 10 |
| 2021 Septiembre | 0 | 1 | 1 |
| 2021 Agosto | 0 | 5 | 5 |
| 2021 Julio | 0 | 1 | 1 |
| 2021 Mayo | 0 | 4 | 4 |
| 2021 Abril | 0 | 1 | 1 |
| 2021 Marzo | 0 | 5 | 5 |
| 2021 Febrero | 0 | 3 | 3 |
| 2021 Enero | 0 | 3 | 3 |
| 2020 Diciembre | 0 | 2 | 2 |
| 2020 Noviembre | 0 | 7 | 7 |
| 2020 Septiembre | 0 | 5 | 5 |
| 2020 Agosto | 0 | 7 | 7 |
| 2020 Julio | 1 | 5 | 6 |
| 2020 Junio | 0 | 5 | 5 |
| 2020 Mayo | 0 | 9 | 9 |
| 2020 Abril | 0 | 8 | 8 |
| 2020 Marzo | 0 | 7 | 7 |
| 2020 Febrero | 0 | 5 | 5 |
| 2020 Enero | 0 | 20 | 20 |
| 2019 Diciembre | 0 | 23 | 23 |
| 2019 Noviembre | 0 | 16 | 16 |
| 2019 Octubre | 0 | 4 | 4 |
| 2019 Septiembre | 0 | 6 | 6 |
| 2019 Agosto | 0 | 1 | 1 |
| 2019 Julio | 0 | 10 | 10 |
| 2019 Junio | 0 | 13 | 13 |
| 2019 Mayo | 0 | 33 | 33 |
| 2019 Abril | 1 | 39 | 40 |
| 2019 Marzo | 0 | 2 | 2 |
| 2019 Febrero | 0 | 11 | 11 |
| 2019 Enero | 0 | 4 | 4 |
| 2018 Diciembre | 0 | 12 | 12 |
| 2018 Noviembre | 0 | 12 | 12 |
| 2018 Octubre | 0 | 17 | 17 |
| 2018 Agosto | 0 | 4 | 4 |
| 2018 Mayo | 0 | 4 | 4 |
| 2018 Abril | 0 | 1 | 1 |
| 2018 Marzo | 1 | 1 | 2 |
| 2018 Febrero | 20 | 13 | 33 |
| 2018 Enero | 6 | 6 | 12 |
| 2017 Diciembre | 24 | 4 | 28 |
| 2017 Noviembre | 6 | 9 | 15 |
| 2017 Octubre | 7 | 12 | 19 |
| 2017 Septiembre | 3 | 32 | 35 |
| 2017 Agosto | 4 | 18 | 22 |
| 2017 Julio | 2 | 16 | 18 |
| 2017 Junio | 10 | 16 | 26 |
| 2017 Mayo | 11 | 5 | 16 |
| 2017 Abril | 10 | 5 | 15 |
| 2017 Marzo | 14 | 51 | 65 |
| 2017 Febrero | 26 | 7 | 33 |
| 2017 Enero | 13 | 6 | 19 |
| 2016 Diciembre | 25 | 25 | 50 |
| 2016 Noviembre | 26 | 29 | 55 |
| 2016 Octubre | 34 | 20 | 54 |
| 2016 Septiembre | 28 | 8 | 36 |
| 2016 Agosto | 26 | 4 | 30 |
| 2016 Julio | 72 | 2 | 74 |
| 2016 Junio | 158 | 38 | 196 |
| 2016 Mayo | 165 | 49 | 214 |
| 2016 Abril | 162 | 37 | 199 |
| 2016 Marzo | 121 | 28 | 149 |
| 2016 Febrero | 101 | 38 | 139 |
| 2016 Enero | 99 | 30 | 129 |
| 2015 Diciembre | 104 | 27 | 131 |
| 2015 Noviembre | 138 | 25 | 163 |
| 2015 Octubre | 156 | 42 | 198 |
| 2015 Septiembre | 115 | 15 | 130 |
| 2015 Agosto | 171 | 13 | 184 |
| 2015 Julio | 290 | 6 | 296 |
| 2015 Junio | 192 | 8 | 200 |
| 2015 Mayo | 287 | 19 | 306 |
| 2015 Abril | 283 | 23 | 306 |
| 2015 Marzo | 310 | 6 | 316 |
| 2015 Febrero | 98 | 12 | 110 |
| 2015 Enero | 135 | 17 | 152 |
| 2014 Diciembre | 164 | 35 | 199 |
| 2014 Noviembre | 152 | 31 | 183 |
| 2014 Octubre | 182 | 15 | 197 |
| 2014 Septiembre | 189 | 20 | 209 |
| 2014 Agosto | 153 | 12 | 165 |
| 2014 Julio | 134 | 16 | 150 |
| 2014 Junio | 180 | 14 | 194 |
| 2014 Mayo | 142 | 8 | 150 |
| 2014 Abril | 118 | 14 | 132 |
| 2014 Marzo | 125 | 13 | 138 |
| 2014 Febrero | 154 | 13 | 167 |
| 2014 Enero | 140 | 7 | 147 |
| 2013 Diciembre | 133 | 8 | 141 |
| 2013 Noviembre | 121 | 3 | 124 |
| 2013 Octubre | 162 | 8 | 170 |
| 2013 Septiembre | 115 | 7 | 122 |
| 2013 Agosto | 155 | 15 | 170 |
| 2013 Julio | 17 | 3 | 20 |
| 2009 Agosto | 3217 | 0 | 3217 |
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