Management of Fournier gangrene in perineal region by negative-pressure wound therapy combined with delayed repair
10.3760/cma.j.issn.1009-2587.2019.12.008
- VernacularTitle: 负压伤口疗法结合延期修复治疗会阴部Fournier坏疽
- Author:
Cheng ZHANG
1
;
Yi LIU
;
Xiaochen SUN
;
Liming CHEN
;
Bin XIAO
;
Chengxin XU
Author Information
1. Department of Burns and Plastic Surgery, the People′s Liberation Army Joint Service Support Unit 940 Hospital, Lanzhou 730050, China (Zhang Cheng is working at the Department of Burns and Plastic Surgery, Xi′an International Medical Center Hospital, Xi′an 710100, China)
- Publication Type:Journal Article
- Keywords:
Fournier gangrene;
Perineum;
Diabetes mellitus;
Negative-pressure wound therapy;
Surgical flaps;
Skin transplantation
- From:
Chinese Journal of Burns
2019;35(12):872-875
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of negative pressure wound therapy (NPWT) combined with delayed repair on Fournier gangrene in perineal region.
Methods:During July 2010 to September 2018, 16 patients with Fournier gangrene in perineal region were admitted to our center, with 13 males and 3 females, aged 30 to 76 years. In the first stage, the necrotic tissue of the wound was completely removed according to the scope of the lesion, and NPWT was applied. After the operation, general anti-infection and nutritional support were performed. In the second stage, the local flaps, free flaps, or skin grafts were chosen to repair the wounds according to the specific condition of wounds. The average length of stay and pathological diagnosis were recorded, and the survival and follow-up of skin grafts and flaps were recorded.
Results:All the 16 patients were cured and discharged, with an average of 29.6 days in hospital. The pathological diagnosis of biopsies were necrotizing inflammation. The wound of 1 patient was healed directly after only NPWT, the skin grafts of 5 patients, local flaps of 9 patients, and anterolateral thigh island flap of 1 patient who had NPWT combined with delayed repair survived well. Sixteen patients were followed up for 1 to 2 years after discharge, and no recurrence of Fournier gangrene was found. Among them, 5 patients with wounds involved perineum and scrotum had good appearance and function of scrotum and mons pubis.
Conclusions:NPWT combined with delayed plastic repair have great effects on Fournier gangrene.
