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Published on: November 23, 2017
Fournier's gangrene current approaches
Omer F Ozkan1, Neset Koksal2, Ediz Altinli3
1Department of General Surgery, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakale, Turkey. ozkanfomer@gmail.com.
International Wound Journal
|August 23, 2014
Summary
Fournier's gangrene management improved with Negative Pressure Wound Therapy (NPWT) and Flexi-Seal fecal management. These methods offer effective, safe treatment options, promoting healing and reducing complications in necrotizing fasciitis patients.
Area of Science:
- Infectious Diseases
- Surgical Pathology
- Wound Management
Background:
- Fournier's gangrene is a severe necrotizing fasciitis of the genital and perineal regions.
- It is a rare but highly mortal infectious disease with significant morbidity.
Purpose of the Study:
- To analyze the demographics, clinical features, treatment approaches, and outcomes of Fournier's gangrene.
- To evaluate the efficacy of Negative Pressure Wound Therapy (NPWT) and Flexi-Seal fecal management systems.
Main Methods:
- Retrospective data collection from medical records and operative notes.
- Analysis of patient data including demographics, etiology, clinical presentation, and treatment strategies.
- Comparison of outcomes between different fecal diversion methods and wound management techniques.
Main Results:
- Perianal abscess was the most common etiology (41.6%).
- Negative Pressure Wound Therapy (NPWT) was effective, with a mean hospitalization of 18 days.
- Flexi-Seal fecal management served as a safe alternative to colostomy, with combined use of NPWT and Flexi-Seal showing efficacy.
Conclusions:
- Negative Pressure Wound Therapy (NPWT) is a safe and effective dressing for Fournier's gangrene, promoting granulation.
- Flexi-Seal fecal management is a viable alternative to colostomy, mitigating associated complications.
- The combination of Flexi-Seal and NPWT offers an effective and comfortable management strategy for selected Fournier's gangrene patients.
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