Vacuum sealing drainage to treat Fournier's gangrene.
BMC Surg
; 23(1): 211, 2023 Jul 26.
Article
in En
| MEDLINE
| ID: mdl-37496026
ABSTRACT
BACKGROUND:
Vacuum sealing drainage (VSD) is widely applied in complex wound repair. We aimed to compare traditional debridement and drainage and VSD in treating Fournier's gangrene (FG).METHODS:
Data of patients surgically treated for FG were retrospectively analyzed.RESULTS:
Of the 36 patients (men 31, women 5; mean age 53.5 ± 11.3 [range 28-74] years) included in the study, no patients died. Between-group differences regarding sex, age, BMI, time from first debridement to wound healing, number of debridements, FGSI, and shock were not statistically significant (P > 0.05). However, lesion diameter, colostomy, VAS score, dressing changes, analgesic use, length of hospital stay, and wound reconstruction method (χ2 = 5.43, P = 0.04) exhibited statistically significant differences. Tension-relieving sutures (6 vs. 21) and flap transfer (4 vs. 2) were applied in Groups I and II, respectively.CONCLUSION:
VSD can reduce postoperative dressing changes and analgesic use, and shrunk the wound area, thereby reducing flap transfer in wound reconstruction.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Fournier Gangrene
/
Negative-Pressure Wound Therapy
Type of study:
Observational_studies
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
BMC Surg
Year:
2023
Document type:
Article