Treatment of Fournier's Gangrene With Vacuum-assisted Closure Therapy as Enhanced Recovery Treatment Modality.


Journal

In vivo (Athens, Greece)
ISSN: 1791-7549
Titre abrégé: In Vivo
Pays: Greece
ID NLM: 8806809

Informations de publication

Date de publication:
Historique:
received: 28 01 2020
revised: 24 02 2020
accepted: 25 02 2020
entrez: 2 5 2020
pubmed: 2 5 2020
medline: 11 2 2021
Statut: ppublish

Résumé

Fournier's gangrene is an uncommon, but extremely serious condition of necrotizing, soft tissue infection. There is a great debate regarding the management of larger defects and wound closure, with various techniques being described in the current literature. We aimed to present the surgical management of extensive Fournier's gangrene treated successfully with Vacuum-assisted closure (VAC) therapy, a novel approach to treatment algorithm that can lead to a paradigm shift. A 66-year-old male patient with Fournier's gangrene was treated with extensive surgical debridement, protective colostomy and VAC therapy. After initial extensive surgical debridement, VAC therapy significantly improved the clinical and aesthetic condition of the patient. VAC therapy in Fournier's gangrene patients may be a safe and effective technique with favorable clinical outcomes, by improving and enhancing wound healing and recovery.

Sections du résumé

BACKGROUND/AIM OBJECTIVE
Fournier's gangrene is an uncommon, but extremely serious condition of necrotizing, soft tissue infection. There is a great debate regarding the management of larger defects and wound closure, with various techniques being described in the current literature. We aimed to present the surgical management of extensive Fournier's gangrene treated successfully with Vacuum-assisted closure (VAC) therapy, a novel approach to treatment algorithm that can lead to a paradigm shift.
CASE METHODS
A 66-year-old male patient with Fournier's gangrene was treated with extensive surgical debridement, protective colostomy and VAC therapy.
RESULTS RESULTS
After initial extensive surgical debridement, VAC therapy significantly improved the clinical and aesthetic condition of the patient.
CONCLUSION CONCLUSIONS
VAC therapy in Fournier's gangrene patients may be a safe and effective technique with favorable clinical outcomes, by improving and enhancing wound healing and recovery.

Identifiants

pubmed: 32354953
pii: 34/3/1499
doi: 10.21873/invivo.11936
pmc: PMC7279784
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1499-1502

Informations de copyright

Copyright© 2020, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Références

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pubmed: 19506410

Auteurs

Athanasios Syllaios (A)

First Department of Surgery, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Spyridon Davakis (S)

First Department of Surgery, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Lysandros Karydakis (L)

First Department of Surgery, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Michail Vailas (M)

First Department of Surgery, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Nikolaos Garmpis (N)

Second Propedeutic Department of Surgery, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, Greece nikosg22@hotmail.com.

Efstratia Mpaili (E)

First Department of Surgery, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Eleandros Kyros (E)

First Department of Surgery, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Evangelos Felekouras (E)

First Department of Surgery, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Alexandros Papalampros (A)

First Department of Surgery, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, Greece.

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