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  • 82 -3 (77) 2025 - Matmurotov K.J., Parmanov S.A. - SURGICAL TREATMENT OF PATIENTS WITH FOURNIER PHLEGMON IN PATIENTS WITH DIABETES MELLITUS

82 -3 (77) 2025 - Matmurotov K.J., Parmanov S.A. - SURGICAL TREATMENT OF PATIENTS WITH FOURNIER PHLEGMON IN PATIENTS WITH DIABETES MELLITUS

SURGICAL TREATMENT OF PATIENTS WITH FOURNIER PHLEGMON IN PATIENTS WITH DIABETES MELLITUS

Matmurotov K.J. - Tashkent Medical Academy

Parmanov S.A. - Tashkent Medical Academy

Atajonov T.Sh. - Tashkent Medical Academy

Najmitdinova D.G. - Tashkent Medical Academy

Resume

Despite the significant advancements in modern medicine, the issue of anaerobic infection in soft tissues remains a topic of great interest among medical professionals across various fields of specialization. The aforementioned scenario is attributed to the distinctive position held by anaerobic infection, characterized by the ailment's seriousness, the intricacy of selecting appropriate therapy, and a significant fatality rate ranging from 14% to 80%. The objective of this study was to examine the clinical progression of Fournier's phlegmon and the treatment options available in the context of diabetes mellitus. The present investigation involved an examination of the outcomes of inpatient therapy for 29 individuals diagnosed with Fournier's gangrene. The study was conducted within the purulent surgery and surgical complications of the diabetes department at the multidisciplinary clinic of Tashkent Medical Academy, spanning the timeframe from 2015 to 2022. The study population consisted of individuals diagnosed with type 2 diabetes mellitus, with a mean age of 53.6±6.2 еars. The mean duration of inpatient treatment, as measured by bed days, was 10.4 days. Results: The findings of the data analysis indicate that diabetes mellitus is a significant contributing factor to the onset of Fournier's gangrene, as evidenced by its presence in all patients and the consistent observation of perineal or inguinal fasciitis symptoms in all cases. The study revealed that a proportion of 24.1% of patients was diagnosed with cardiovascular diseases, including hypertension, IBS, and PICS. Additionally, 6.7% of patients were found to have alcoholism, while 13.4% presented with urinary tract and pararectal infections. Furthermore, one patient had a history of long-term use of hormones and cytostatics for rheumatoid arthritis.

Keywords: Fournier gangrene, anaerobic infection, diabetes mellitus.

First page

471

Last page

475

For citation:Matmurotov K.J., Parmanov S.A., Atajonov T.Sh., Najmitdinova D.G. - SURGICAL TREATMENT OF PATIENTS WITH FOURNIER PHLEGMON IN PATIENTS WITH DIABETES MELLITUS//New Day in Medicine 3(77)2025 471-475 https://https://newdayworldmedicine.com/en/new_day_medicine/3-77-2025

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