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

被引：11

作者：

Syllaios, Athanasios ^{[1
]}

Davakis, Spyridon ^{[1
]}

Karydakis, Lysandros ^{[1
]}

Vailas, Michail ^{[1
]}

Garmpis, Nikolaos ^{[2
]}

Mpaili, Efstratia ^{[1
]}

Kyros, Eleandros ^{[1
]}

Felekouras, Evangelos ^{[1
]}

Papalampros, Alexandros ^{[1
]}

机构：

[1] Natl & Kapodistrian Univ Athens, Laiko Gen Hosp, Dept Surg 1, Athens, Greece

[2] Natl & Kapodistrian Univ Athens, Laiko Gen Hosp, Propedeut Dept Surg 2, Athens, Greece

来源：

IN VIVO | 2020年 / 34卷 / 03期

关键词：

Fournier's Gangrene; vacuum-assisted closure therapy; wound healing;

D O I：

10.21873/invivo.11936

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Background/Aim: 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: A 66-year-old male patient with Fournier's gangrene was treated with extensive surgical debridement, protective colostomy and VAC therapy. Results: After initial extensive surgical debridement, VAC therapy significantly improved the clinical and aesthetic condition of the patient. Conclusion: 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.

引用

页码：1499 / 1502

页数：4

共 8 条

[1] Vacuum-Assisted Closure for the Treatment of Fournier's Gangrene [J].

Cuccia, Giuseppe ;

Mucciardi, Giuseppe ;

Morgia, Giuseppe ;

d'Alcontres, Francesco Stagno ;

Gali, Alessandro ;

Cotrufo, Stefano ;

Romeo, Marco ;

Magno, Carlo .

UROLOGIA INTERNATIONALIS, 2009, 82 (04) :426-431

[2] Fournier's Gangrene as a Postoperative Complication of Inguinal Hernia Repair [J].

Dinc, Tolga ;

Kayilioglu, Selami Ilgaz ;

Sozen, Isa ;

Yildiz, Baris Dogu ;

Coskun, Faruk .

CASE REPORTS IN SURGERY, 2014, 2014

[3]

Koehnke A, 2012, VIVO, V29, P161

[4] Current concepts in the management of necrotizing fasciitis [J].

Misiakos, Evangelos P. ;

Bagias, George ;

Patapis, Paul ;

Sotiropoulos, Dimitrios ;

Kanavidis, Prodromos ;

Machairas, Anastasios .

FRONTIERS IN SURGERY, 2014, 1

[5] Fournier's Gangrene: A Summary of 10 Years of Clinical Experience [J].

Oguz, Abdullah ;

Gumus, Metehan ;

Turkoglu, Ahmet ;

Bozdag, Zubeyir ;

Ulger, Burak Veli ;

Agacayak, Elif ;

Boyuk, Abdullah .

INTERNATIONAL SURGERY, 2015, 100 (05) :934-941

[6]

Snyder Ned 4th, 2005, Can J Plast Surg, V13, P205

[7]

Zagli G, 2011, CASE REP ANESTHESIOL, V2011, DOI [10.1155/2011/430983, DOI 10.1155/2011/430983]

[8]

Zurmeyer S, 2013, ANTICANCER RES, V33, P1585

← 1 →