caa a22 4500 606247661 CHVBK 20210128101346.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-013-0868-6 doi (NATIONALLICENCE)springer-10.1007/s12262-013-0868-6 Comparison of Diverting Colostomy and Bowel Management Catheter Applications in Fournier Gangrene Cases Requiring Fecal Diversion [Elektronische Daten] [Ismail Eray, Omer Alabaz, Atilgan Akcam, Abdullah Ulku, Cem Parsak, Gurhan Sakman, Gulsah Seydaoglu] In some patients of Fournier gangrene originated from perianal region, it is important to prevent fecal contamination in order to provide healing without wound infection. For this purposes, diverting colostomy or bowel management catheter methods were performed. In this study, it is aimed to carry out a comparison of prognosis and cost efficiency between diverting colostomy and bowel management catheter methods applied for preventing fecal contamination in Fournier's gangrene patients. Fourty-eight patients with diagnosis of Fournier's gangrene, serious perianal infections, and preserved sphincters and without rectum injury after debridement were included in the study. The cases were divided into two groups as patients who were subjected to colostomy for fecal diversion and who were subjected to bowel management catheter without colostomy. Then, the groups were compared in terms of age, predisposing factors, duration of hospital stay, mortality, additional surgery requirements, and cost. Fourty-eight patients were included the study. Sixteen patients were treated without colostomy. Decreased duration of total hospital stay, additional surgery requirements, and hospital expense in bowel management catheter group has determined. It is thought that preferring bowel management catheter method instead of colostomy in patients without rectum injury, who require diverting colostomy and have undamaged anal sphincters, can relieve patients, patients' relatives, healthcare organizations, and the national economy of a serious burden. In addition, although patients' satisfaction and workforce loss factors are not taken into consideration in this study, the bowel management catheter method is thought to have positive effects also on these parameters. Association of Surgeons of India, 2013 Necrotising infection nationallicence Colostomy nationallicence Bowel management catheter nationallicence Eray Ismail Department of General Surgery, Cukurova University Medical Faculty, Saricam, Adana, Turkey aut Alabaz Omer Department of General Surgery, Cukurova University Medical Faculty, Saricam, Adana, Turkey aut Akcam Atilgan Department of General Surgery, Cukurova University Medical Faculty, Saricam, Adana, Turkey aut Ulku Abdullah Department of General Surgery, Cukurova University Medical Faculty, Saricam, Adana, Turkey aut Parsak Cem Department of General Surgery, Cukurova University Medical Faculty, Saricam, Adana, Turkey aut Sakman Gurhan Department of General Surgery, Cukurova University Medical Faculty, Saricam, Adana, Turkey aut Seydaoglu Gulsah Department of Biostatistics, Cukurova University Medical Faculty, Saricam, 01260, Adana, Turkey aut Indian Journal of Surgery Springer India 77(2015-12-01), 438-441 0972-2068 77<438 2015 77 12262 https://doi.org/10.1007/s12262-013-0868-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-013-0868-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Eray Ismail Department of General Surgery, Cukurova University Medical Faculty, Saricam, Adana, Turkey aut NATIONALLICENCE 700 1- Alabaz Omer Department of General Surgery, Cukurova University Medical Faculty, Saricam, Adana, Turkey aut NATIONALLICENCE 700 1- Akcam Atilgan Department of General Surgery, Cukurova University Medical Faculty, Saricam, Adana, Turkey aut NATIONALLICENCE 700 1- Ulku Abdullah Department of General Surgery, Cukurova University Medical Faculty, Saricam, Adana, Turkey aut NATIONALLICENCE 700 1- Parsak Cem Department of General Surgery, Cukurova University Medical Faculty, Saricam, Adana, Turkey aut NATIONALLICENCE 700 1- Sakman Gurhan Department of General Surgery, Cukurova University Medical Faculty, Saricam, Adana, Turkey aut NATIONALLICENCE 700 1- Seydaoglu Gulsah Department of Biostatistics, Cukurova University Medical Faculty, Saricam, 01260, Adana, Turkey aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 438-441 0972-2068 77<438 2015 77 12262