Suture Technique to Prevent Air Leakage during Negative-Pressure Wound Therapy in Fournier Gangrene

Plastic and Reconstructive Surgery. Global Open
Feng-Shu ChangShu-Hung Huang

Abstract

The use of negative-pressure wound therapy (NPWT) for Fournier gangrene management is well documented; however, it is difficult to fixate GranuFoam dressings and maintain an airtight seal over the perineum area. We developed a simple method to facilitate GranuFoam fixation and improve airtight sealing. The Fournier's gangrene severity index (FGSI) score less than 9 was collected in from January 2015 to October 2016. All 13 patients underwent fasciotomy, and NPWT was applied directly on fasciotomy wounds after the debridement of infected tissue. Partial wound closure was performed, and a portion of GranuFoam was inserted to facilitate fixation. The seal check was converted to a 0-10 scale score that was recorded every 4 hours during NPWT. Patient profiles including medical history, FGSI, method of wound closure, and length of stay were collected in this study. The median age of the patients was 62 (38-76) years. The mean FGSI score was 4.3 ± 3.1. The average duration of NPWT was 17.5 ± 11.5 days, and the average seal check score was 0.8 ± 0.5. No seal check alarms were noted during the study. Successful wound closure was achieved in all patients without using additional reconstruction methods such as skin grafting or muscle flap...Continue Reading

References

Jul 1, 1995·The Journal of Urology·E LaorH I Winter
Jul 31, 2002·British Journal of Nursing : BJN·L FosterP Turton
Oct 1, 2004·Plastic and Reconstructive Surgery·Vishal SaxenaDennis P Orgill
Jun 10, 2005·American Journal of Clinical Dermatology·Mark L VenturiKatherine S Graw
Jan 27, 2007·Plastic and Reconstructive Surgery·Pedro Costa FerreiraPedro Natividade da Silva
Nov 22, 2007·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Amy K McNultyKris Kieswetter
Sep 16, 2008·American Journal of Surgery·Ersin OzturkTuncay Yilmazlar
Feb 3, 2009·American Journal of Surgery·Ralf CzymekPeter Kujath
Jun 10, 2009·Urologia Internationalis·Giuseppe CucciaCarlo Magno
Jun 19, 2010·Techniques in Coloproctology·T YilmazlarB Oktay
Mar 16, 2011·International Wound Journal·Emrah ArslanGurbuz Polat
Mar 22, 2012·Urologia Internationalis·Silvio AltaracNuhi Arslani
Dec 20, 2012·ISRN Surgery·M N MallikarjunaB S Shivswamy
Jun 7, 2013·International Wound Journal·Omer Faruk OzkanAtilla Celik
May 8, 2014·Advances in Wound Care·Aryan S P PatmoRoelf S Breederveld
Aug 26, 2014·International Wound Journal·Omer F OzkanMuammer Karaayvaz
Apr 11, 2015·International Surgery·Abdullah OguzAbdullah Böyük
Nov 26, 2015·Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada·Mohamed TarchouliKhalid Sair

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