Vacuum sealing drainage to treat Fournier’s gangrene
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 pati...
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-023-02109-0 |
| _version_ | 1797769721198673920 |
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| author | Ju-hua Chen Yu-bo Li De-gang Li Xiao-mei Zeng Qiu-yuan Yao Jun Fu Gong-he Wang Xiao-yan Huang |
| author_facet | Ju-hua Chen Yu-bo Li De-gang Li Xiao-mei Zeng Qiu-yuan Yao Jun Fu Gong-he Wang Xiao-yan Huang |
| author_sort | Ju-hua Chen |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T21:12:06Z |
| format | Article |
| id | doaj.art-8de93005f33743b09cc9805205b16cad |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-03-12T21:12:06Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-8de93005f33743b09cc9805205b16cad2023-07-30T11:06:11ZengBMCBMC Surgery1471-24822023-07-012311710.1186/s12893-023-02109-0Vacuum sealing drainage to treat Fournier’s gangreneJu-hua Chen0Yu-bo Li1De-gang Li2Xiao-mei Zeng3Qiu-yuan Yao4Jun Fu5Gong-he Wang6Xiao-yan Huang7Colorectal Surgery Division, Affiliated Hospital of Jinggangshan UniversityColorectal Surgery Division, The First Affiliated Hospital of Guangxi University of Chinese MedicineColorectal Surgery Division, The First Affiliated Hospital of Guangxi University of Chinese MedicineColorectal Surgery Division, Traditional Chinese Medicine of Guiping cityColorectal Surgery Division, The First Affiliated Hospital of Guangxi University of Chinese MedicineColorectal Surgery Division, The First Affiliated Hospital of Guangxi University of Chinese MedicineColorectal Surgery Division, The First Affiliated Hospital of Guangxi University of Chinese MedicineColorectal Surgery Division, The First Affiliated Hospital of Guangxi University of Chinese MedicineAbstract 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.https://doi.org/10.1186/s12893-023-02109-0Fournier’s gangreneVacuum sealing drainageDebridementWound reconstructionSoft tissue infectionNecrosis |
| spellingShingle | Ju-hua Chen Yu-bo Li De-gang Li Xiao-mei Zeng Qiu-yuan Yao Jun Fu Gong-he Wang Xiao-yan Huang Vacuum sealing drainage to treat Fournier’s gangrene BMC Surgery Fournier’s gangrene Vacuum sealing drainage Debridement Wound reconstruction Soft tissue infection Necrosis |
| title | Vacuum sealing drainage to treat Fournier’s gangrene |
| title_full | Vacuum sealing drainage to treat Fournier’s gangrene |
| title_fullStr | Vacuum sealing drainage to treat Fournier’s gangrene |
| title_full_unstemmed | Vacuum sealing drainage to treat Fournier’s gangrene |
| title_short | Vacuum sealing drainage to treat Fournier’s gangrene |
| title_sort | vacuum sealing drainage to treat fournier s gangrene |
| topic | Fournier’s gangrene Vacuum sealing drainage Debridement Wound reconstruction Soft tissue infection Necrosis |
| url | https://doi.org/10.1186/s12893-023-02109-0 |
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