Rectal diversion without colostomy in Fournier's gangrene.
Fournier's gangrene is a potentially fatal necrotizing fasciitis affecting the perineum and genital area. The usual treatment includes prompt surgical debridement and, in many cases, a diverting colostomy. We present two cases of Fournier's gangrene that were treated with extensive local debridement and rectal diversion with a new device for faecal matter management, avoiding the need for a colostomy.
Estrada
O
O
Surgery Hospital de Mataró, Cerretra de Cirera s/n, Barcelona, Spain. oestrada@csdm.cat
Martinez
I
I
Del Bas
M
M
Salvans
S
S
Hidalgo
L A
LA
D000328:Adult; D003646:Debridement; D004766:Enterostomy / Q000295:instrumentation*; D018934:Fournier Gangrene / Q000473:pathology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010502:Perineum; D012007:Rectum / Q000601:surgery*; D012611:Scrotum