Comparison between Negative Pressure Wound Therapy and Conventional Wound Care after Extensive Surgical Debridement in Patients with Fournier's Gangrene

Mario E Trejo-Ávila, Andrés Rodríguez-Parra, Aarón Díaz-Flores, Elisafat Arce-Liévano, Miguel Blas-Franco, Sujey Romero-Loera and Mucio Moreno-Portillo

Department of General Surgery, General Hospital “Dr. Manuel Gea González”, Mexico

^*Correspondance to: Mario E. Trejo Avila 

 PDF  Full Text DOI: 10.25107/2474-1647.1335

Abstract

Introduction: Negative pressure appears an effective tool for postoperative wound care of patients with Fournier´s gangrene. The aim of this study is to compare the surgical outcomes of patients with Fournier´s gangrene treated with negative pressure wound therapy (NPWT) or conventional dressings after aggressive surgical debridement in our institution.Materials and
Methods: We retrospectively reviewed records of patients with the diagnosis of Fournier´s gangrene treated with extensive surgical debridement (between 2013 and 2015). We compare surgical outcomes between negative pressure wound therapy and conventional treatment. Clinical features of 25 patients were described. We included in the analysis 11 patients with NPWT and 11 patients with conventional treatment.Results: Patients in the conventional wound care group had shorter length of stay (9 days vs. 20.7 days, p=0.005). NPWT patients had faster healing rates (24.5 vs. 41.8 days, p=0.024), they needed less opioids to control pain (5 vs. 10 patients, p=0.022) and they required more fecal diversion procedures (5 vs. 1 patient, p=0.055). One death in the NPWT group (1 vs. 0, p=0.306). Conclusions: Patients with Fournier´s gangrene benefit with the use of negative pressure wound therapy compared with conventional wound care.

Keywords

Conventional Dressings, Fournier´s Gangrene, Negative Pressure Wound Therapy, Vacuum Assisted closure

Cite the article

Trejo-Avila ME, Rodriguez-Parra A, Diaz-Flores A, Arce-Lievano E, Blas-Franco M, Romero-Loera S, et al. Comparison between Negative Pressure Wound Therapy and Conventional Wound Care after Extensive Surgical Debridement in Patients with Fournier's Gangrene. Clin Surg. 2017; 2: 1335.