The use of vacuum assisted closure therapy in the management of Fournier's gangrene

Öztürk, Ersin; Özgüç, Halil; Yılmazlar, Tuncay

doi:10.1016/j.amjsurg.2008.04.018

Cited by 95 publications

(91 citation statements)

References 22 publications

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“…VAC enables more comfortable mobilization and reduces the duration of hospital stay. [4,12,[21][22][23] We performed VAC in addition to debridement in 64% of our patients. The mean duration of hospital stay was 26.43 days in our cohort, and the mean number of debridements performed was 2.81 in patients who underwent VAC.…”

Section: Discussionmentioning

confidence: 99%

Fournier’s gangrene: A retrospective analysis of 25 patients

Yücel

Özpek²,

Başak³

et al. 2017

Ulus Travma Acil Cerrahi Derg

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Section: Discussionmentioning

confidence: 99%

Fournier’s gangrene: A retrospective analysis of 25 patients

Yücel

Özpek²,

Başak³

et al. 2017

Ulus Travma Acil Cerrahi Derg

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“…The main criticism of VAC therapy has been its cost. [16] VAC system was not available at the time of treatment of this particular patient.…”

Section: Discussionmentioning

confidence: 99%

“…VAC (VAC; Kinetic Concepts, Inc., San Antonio, TX) is a wound care system that works on the basis of negative pressure vacuuming to regulate the wound pressure, reduce edema, eliminate fluid collections, decrease bacterial contamination and promote healing. [16] VAC was introduced by Fleischmann et al 1995 and Morykwas et al in 1997 and gained popularity among clinicians who started to use it for the treatment of chronic wounds. The VAC therapy has proved very useful in acute/chronic wounds treatment, especially in big traumas, diabetic ulcers, and in the poorly-vascularized post-traumatic lesions, but always after surgical debridement of the wound.…”

Section: Discussionmentioning

confidence: 99%

“…The VAC therapy has proved very useful in acute/chronic wounds treatment, especially in big traumas, diabetic ulcers, and in the poorly-vascularized post-traumatic lesions, but always after surgical debridement of the wound. [16][17][18] Both patients and physicians are more comfortable with VAC treatment compared to conventional methods; although it does not shorten the length of the hospital stay or the time from initial debridement to closure, it does decrease number of interventions. The main criticism of VAC therapy has been its cost.…”

Section: Discussionmentioning

confidence: 99%

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Catastrophic necrotizing fasciitis after blunt abdominal trauma with delayed recognition of the coecal rupture – case report

Pecić

Nestorović

Kovačević

et al. 2014

Ulus Travma Acil Cerrahi Derg

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Necrotizing fasciitis (NF) is a rare bacterial infection with dramatic course, characterized by widespread necrosis of the skin, subcutaneous tissue, and superficial fascia which can often lead to death. We present a case of a 27-year-old male with NF. One day after experiencing blunt abdominal trauma caused by falling over bike handlebars, the patient was admitted to a regional hospital and treated for diffuse abdominal pain and large hematoma of the anterior abdominal wall. Due to worsening of general condition, he was referred to our hospital the following day and operated on urgently. Surgery revealed rupture of the coecum with peritonitis and abdominal wall infection. After surgery, fulminant necrotizing fasciitis developed. Antibiotics were prescribed according to wound cultures and subsequent necrectomies were performed. After 25 days, reconstruction of the abdominal wall with skin grafts was obtained. Despite all resuscitation measures including fluids, blood transfusions, and parenteral nutrition, lung infection and MODS caused death 42 days after initial operation. Blunt abdominal trauma can cause the rupture of intestine, and if early signs of peritoneal irritation should present, emergency laparotomy should be performed. Disastrous complication are rare but lethal.

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“…Anecdotal evidence suggests that pain is one of the main adverse effects associated with negative pressure wound devices, 32 although Ozturk et al 33 found that negative pressure therapy may cause less pain than other modern wound therapies. Some comparative studies have suggested that gauze-based rather than foam-based interface dressings may cause less pain when using negative pressure wound therapy.…”

Section: Levels Of Exudatementioning

confidence: 99%

Clinical Evaluation of a Novel Topical Negative Pressure Device in Promoting Healing in Chronic Wounds

Bradbury

Walkley

Ivins

et al. 2015

Advances in Wound Care

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Aim: This observational study evaluated the use of a novel, ultraportable, mechanically powered topical negative pressure device in promoting healing in chronic wounds, including venous and mixed etiology leg ulcers and neuropathic foot ulcers. Materials and Methods: Evaluable patients (n = 37) received treatment with the SNaP Ò Wound Care System for up to 6 weeks. The primary objective was percentage change in wound size, with secondary objectives of clinical assessment of wound parameters, ease of use, and impact on quality of life. Results: A 42.64% mean percentage decrease in wound area was observed, with an overall decrease for each wound etiology subgroup. Increased granulation tissue, decreased exudate levels, and decreased wound pain were reported. Quality-of-life scores increased overall, and the device was easy to use, comfortable, portable, and inconspicuous.

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The use of vacuum assisted closure therapy in the management of Fournier's gangrene

Cited by 95 publications

References 22 publications

Fournier’s gangrene: A retrospective analysis of 25 patients

Fournier’s gangrene: A retrospective analysis of 25 patients

Catastrophic necrotizing fasciitis after blunt abdominal trauma with delayed recognition of the coecal rupture – case report

Clinical Evaluation of a Novel Topical Negative Pressure Device in Promoting Healing in Chronic Wounds

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