Características clínicas, epidemiológicas y quirúrgicas en pacientes mayores de 30 años diagnosticados con gangrena de Fournier en el Hospital General Guasmo Sur de mayo del 2022 a mayo del 2024.

Abstract

Introduction: Fournier's gangrene is defined as necrotizing type infection of soft tissues, with high mortality and a higher prevalence in the male sex. Objective: To establish the clinical, epidemiological and surgical characteristics of patients older than 30 years with Fournier's gangrene treated at the Hospital General Guasmo Sur between May 2022 and May 2024. Methodology: This is an observational, retrospective, descriptive and cross- sectional study, in which 84 patients were identified. Results: The average age was 43 years, with male predominance (72.6%) and main comorbidities such as type 2 diabetes mellitus (52.4%) and arterial hypertension (46.4%). The main clinical manifestations were fever in 90.5% and scrotal pain in 75%. Soft tissue sepsis (58.3%) and loss of skin substance (46.4%) were identified as the most reported clinical complications. Mild grade sepsis was the most frequent (42.9%). Most patients required between 1 and 3 debridements (51.2%) and secondary surgical closure was the most common (82.1%). Conclusion: The cases studied with a diagnosis of Fournier's gangrene had a critical evolution, characterized by the presence of various comorbidities, in addition to clinical complications and the need for multiple surgical interventions.