Proposal for an Anatomical Scale for the Prognosis of Fournier Syndrome.
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 58
- 试验地点
- 2
- 主要终点
- Mortality
研究概览
简要总结
Type of study: Case series. Universe of study: Records of patients with Fournier syndrome treated using the 3-stage reconstructive technique assigned and treated at the Mexican Social Security Institute: Regional General Hospital No. 1 of Mérida, Yucatán, during the years 2021-2024.
Population under study: Patients diagnosed with Fournier syndrome.
详细描述
The first surgical stage consists of damage limitation and extension analysis. In the second surgical stage, it was necessary to wash and prepare the area to be remodeled with the joint creation of the testicular resting space delimited by the fascia of the adductor muscles of the proximal lower limb. Finally, in the third surgical stage, the wound is remodeled and addressed. The surgery was performed in patients with extensive involvement that could not be resolved with minor surgery.
The 3-stage reconstructive technique can be summarized as follows:
- Analysis and limitation of the tissue injury. Bilateral testicular and spermatic cord dissection.
- Formation of cutaneous flaps and bilateral inguinal neocavity.
- Perineal-scrotal reconstruction with fascial facing and cutaneous flaps
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 85 Years（Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •- patients diagnosed with perineal necrotizing fasciitis (Fournier syndrome), at the General Hospital Zone No. 1, aged between 40-85 years, who have undergone surgery
排除标准
- •Those who could not be followed up due to incomplete records. Those who did not complete the three procedures due to mortality associated with primary pathologies independent of necrotizing fasciitis.
结局指标
主要结局
Mortality
时间窗: From the diagnosis to the surgery and 30 day post op
To determine the presence of mortality in patients with Fournier syndrome who underwent surgery using the 3-stage reconstructive technique.
次要结局
未报告次要终点
研究者
Huber Díaz Fuentes
Urologist
Instituto Mexicano del Seguro Social