Modern Management of Fournier's Gangrene

被引:0
作者
Kopechek, Kyle J. [1 ]
Patel, Hiren V. [1 ]
Koch, George E. [1 ,2 ]
机构
[1] Ohio State Univ, Wexner Med Ctr, Dept Urol, 915 Olentangy River Rd,Suite 3117, Columbus, OH 43212 USA
[2] Univ Washington, Dept Urol, Seattle, WA USA
关键词
Fournier's gangrene; Necrotizing soft tissue infection; Skin-sparing debridement; Wound care; Genital reconstruction; Wound closure; SOFT-TISSUE INFECTIONS; VACUUM-ASSISTED CLOSURE; HYPERBARIC-OXYGEN; INTRAVENOUS IMMUNOGLOBULIN; SKIN; RECONSTRUCTION; MORTALITY; DIAGNOSIS; ETIOLOGY; OUTCOMES;
D O I
10.1007/s11934-025-01275-3
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose of reviewThis review explores new evidence in Fournier's Gangrene management, emphasizing survivorship. We highlight the shift toward skin-sparing debridement techniques, new reconstructive strategies, and highlight limited evidence on outcomes. Additionally, we examine recent evidence on diagnosis, antimicrobial therapy, adjunctive treatments, and post-operative wound care.Recent findingsNew evidence supports the feasibility of skin-sparing debridement, reducing the need for extensive reconstruction while improving primary closure rates and lowering healthcare costs. Advances in reconstructive techniques accelerate wound healing and shorten hospital stays. Optimized wound management-integrating antimicrobial solutions, negative pressure therapy, and targeted antibiotics-continues to improve recovery while minimizing morbidity and mortality.SummaryModern Fournier's management prioritizes early recognition, tissue preservation, and early genital reconstruction. Despite advancements, gaps remain in early diagnosis and long-term outcomes after the index admission. Further research on post-reconstruction recovery is essential to refine treatment protocols and determine quality of life for affected patients.
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页数:10
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