Cover Image

Comparison of conventional dressings and vacuum-assisted closure in the wound therapy of Fournier’s gangrene

Fatih Yanaral, Can Balci, Faruk Ozgor, Abdulmuttalip Simsek, Ozkan Onuk, Muammer Aydin, Baris Nuhoglu
  • Fatih Yanaral
    Department of Urology, Haseki Teaching and Research Hospital, Istanbul, Turkey | fyanaral@yahoo.com
  • Can Balci
    Department of Urology, GaziosmanpasaTaksim Teaching and Research Hospital, Istanbul, Turkey
  • Faruk Ozgor
    Department of Urology, Haseki Teaching and Research Hospital, Istanbul, Turkey
  • Abdulmuttalip Simsek
    Department of Urology, Bakirkoy Dr. SadiKonuk Teaching and Research Hospital, Istanbul, Turkey
  • Ozkan Onuk
    Department of Urology, GaziosmanpasaTaksim Teaching and Research Hospital, Istanbul, Turkey
  • Muammer Aydin
    Department of Urology, GaziosmanpasaTaksim Teaching and Research Hospital, Istanbul, Turkey
  • Baris Nuhoglu
    Department of Urology, GaziosmanpasaTaksim Teaching and Research Hospital, Istanbul, Turkey

Abstract

Objective: The purpose of our study was to compare Vacuum-assisted closure (VAC) and conventional dressings in the wound therapy of Fournier’s gangrene (FG). Materials and methods: The study evaluated 54 patients, retrospectively. Following initial removal of necrotic and devitalized tissue, in Group I patients the wounds were covered with conventional antiseptic dressings and patients continued to be treated with conventional dressings. In Group II patients VAC therapy was initiated. The collected data were compared between groups. Results: The difference between two groups were statistically significant in terms of number of daily dressing (group I: 2, group II: 0,5), VAS (group I: 8, group II: 5), number of daily analgesics (group I: 4, group II: 2), number of daily narcotic analgesics (group I: 1, group II: 0), duration of mobilization per day (group I: 40, group II: 73 minutes) (p < 0.05). Conclusions: Our study does not determine that a VAC therapy is better than conventional dressings in terms of clinical outcome. However, vacuum dressing appears an effective and successful method, which offers fewer dressing changes, less pain, and greater mobility comparing to conventional dressings in the management of FG patients.

Keywords

Debridement; Gangrene; Prognosis; Treatment outcome; Wound closure techniques

Full Text:

PDF
Submitted: 2017-04-26 08:49:45
Published: 2017-10-03 09:39:49
Search for citations in Google Scholar
Related articles: Google Scholar
Abstract views:
405

Views:
PDF
333

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM


Copyright (c) 2017 Abdulmuttalip simsek

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
 
© PAGEPress 2008-2017     -     PAGEPress is a registered trademark property of PAGEPress srl, Italy.     -     VAT: IT02125780185