Abstract
This Fournier syndrome, known as Fournier Gangrene, is a serious polymicrobial
infection that mainly affects the perineum and genital region. The research, an
integrative review between 2020 and 2024, resulted in the analysis of 41 articles, of
which 6 were selected. The incidence is higher in men, with an increase after the age of
50. The results point to several sources of technology, highlighting skin, urological and
gastrointestinal. The pathophysiology involves endarteritis obliterans, ischemia and
thrombosis, leading to necrosis. The progression of the disease is divided into four
phases, with the third phase characterized by general signs and severe infectious
syndrome, which can lead to septic shock. Treatment includes broad-spectrum
antibiotics, surgical debridement and, in severe cases, superficial scrotal debridement.
Hyperbaric oxygen therapy is considered an adjuvant, periodic at the request of
microorganisms and stimulating healing. It concludes by highlighting the urgency of
early diagnosis and multidisciplinary treatment, given the rapid progression of necrosis
and high rates of morbidity and mortality associated with Fournier syndrome. The
research contributes to clinical understanding and highlights the importance of
improving knowledge for a correct diagnosis and improving treatment conditions.
References
BORGES, Emylle Maria Martins. Estratégias terapêuticas e intervenções na
gangrena de fournier: uma revisão sistemática. Revista Científica da Faculdade
Quirinópolis, v. 2, n. 11, p. 510-526, 2021.
PRIMO, Mariusa Gomes Borges et al. Manejo do paciente com gangrena de
Fournier: um estudo de revisão. 2020.
CARMO, Gabriel Augusto Santos; COSTA, Guilherme Espíndola; DA ROCHA
SOBRINHO, Hermínio Maurício. Gangrena de Fournier: revisão sobre o
diagnóstico e a fisiopatologia. Revista Eletrônica Acervo Saúde, v. 23, n. 5, p.
e12601-e12601, 2023.
LOPES, Adrieny Viegas et al. Gangrena de Fournier: intervenções e tecnologias
na assistência de enfermagem-revisão integrativa. 2021.
COVER, Sheila et al. Reconstrução Perineal Após Síndrome De Fournier:
Experiência De Três Anos Do Hospital Do Servidor Público Municipal De São
Paulo. 2022.
FERREIRA, Flávia Albuquerque et al. Gangrena de Fournier: Novas abordagens
terapêuticas com o uso de pressão negativa e oxigenoterapia hiperbárica.
Research, Society and Development, v. 10, n. 7, p. e46410716686-
e46410716686, 2021.
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Copyright (c) 2024 Caroline Matos Falcão de Andrade, Iana Carneiro Vieira, Leonardo Aguiar Muniz Feitosa, Marla Milena Siqueira Moura, Ranna Victoria Guimarães, Victor Souza Nobre, Yago Pontes Cavalcante , Iasmim Veras de Sousa, Ítalo Veras de Sousa, Luiz Davi Martins Pereira, Vitória Bezerra de Alencar, Yan Nascimento da Silva, Alexya Kelly Cavalcante Lima, Ana Beatriz Alcântara Coutinho, Emily Queiros Pinheiro, Lílian Aderaldo Motta, Matheus Moises Veras , Caio César Cavalcante Coutinho, Amanda Magalhães Xerez Silva, Davi Torquato de Araujo Gonçalves, Paula Villena Teixeira Santos Silva, Alexandre José Mont Alverne Silva Filho