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

  • Fatih Yanaral | fyanaral@yahoo.com Department of Urology, Haseki Teaching and Research Hospital, Istanbul, Turkey.
  • 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.

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Published
2017-10-03
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Section
Original Papers - Stones and Infections
Keywords:
Debridement, Gangrene, Prognosis, Treatment outcome, Wound closure techniques
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How to Cite
Yanaral, F., Balci, C., Ozgor, F., Simsek, A., Onuk, O., Aydin, M., & Nuhoglu, B. (2017). Comparison of conventional dressings and vacuum-assisted closure in the wound therapy of Fournier’s gangrene. Archivio Italiano Di Urologia E Andrologia, 89(3), 208-211. https://doi.org/10.4081/aiua.2017.3.208

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