Vacuum sealing drainage to treat Fournier's gangrene.

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.

• Authors: Ju-Hua Chen, Yu-Bo Li, De-Gang Li, Xiao-Mei Zeng, Qiu-Yuan Yao, Jun Fu, Gong-He Wang, Xiao-Yan Huang
• Journal: BMC surgery (BMC Surg) Vol. 23 Issue 1 Pg. 211 (Jul 26 2023) ISSN: 1471-2482 [Electronic] England
• PMID: 37496026 (Publication Type: Journal Article)
• Copyright: © 2023. The Author(s).

Topics

• Male
• Humans
• Female
• Adult
• Middle Aged
• Fournier Gangrene (surgery)
• Negative-Pressure Wound Therapy
• Retrospective Studies
• Debridement (methods)
• Drainage