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Open Access 01-12-2023 | Wound Debridement | Research

Vacuum sealing drainage to treat Fournier’s gangrene

Authors: Ju-hua Chen, Yu-bo Li, De-gang Li, Xiao-mei Zeng, Qiu-yuan Yao, Jun Fu, Gong-he Wang, Xiao-yan Huang

Published in: BMC Surgery | Issue 1/2023

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.

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Title: Vacuum sealing drainage to treat Fournier’s gangrene
Authors: Ju-hua Chen
Yu-bo Li
De-gang Li
Xiao-mei Zeng
Qiu-yuan Yao
Jun Fu
Gong-he Wang
Xiao-yan Huang
Publication date: 01-12-2023
Publisher: BioMed Central
Keywords: Wound Debridement
Colostomy
Soft Tissue Infection
Incision
Analgesics in Dentistry
Published in: BMC Surgery / Issue 1/2023
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/s12893-023-02109-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Vacuum sealing drainage to treat Fournier’s gangrene

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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