European Journal of Therapeutics
Original Article

Comparison of Vacuum-assisted Closure and Conventional Dressing Treatment Modalities for Fournier’s Gangrene

1.

Department of Urology, Health Sciences University, Adana City Training and Research Hospital, Adana, Turkey

2.

Clinic of Urology, Adana Seyhan State Hospital, Adana, Turkey

Eur J Ther 2020; 26: 257-262
DOI: 10.5152/eurjther.2020.20026
Read: 50 Downloads: 60 Published: 22 September 2020

Objective: The aims of this study were to evaluate the etiology and predisposing factors of patients with Fournier’s gangrene (FG) and to compare the results and efficacy of vacuum-assisted closure (VAC) treatment with conventional dressings and debridement method.

Methods: The data of 52 patients diagnosed with FG and treated at our clinic between January 2013 and October 2018 were analyzed. Patients diagnosed with FG based on physical examination findings and anamnesis were analyzed. Patients with VAC applied (Group I) and not applied (Group II) were analyzed for demographics, etiology, wound culture results, predisposing factors, FG severity index, visual analog scale (VAS) for pain, number of debridements, requirement for analgesia, colostomy, length of hospital stay, and complications.

Results: Group I included 37 patients treated with conventional daily dressings, and Group II included 15 patients who were treated with VAC. No significant difference was determined between the groups with respect to etiology, microorganism type, or predisposing factors. Length of hospital stay was similar in both groups. Statistically significant differences were observed between the groups with respect to the number of debridements, VAS values, mean number of daily dressings, and use of analgesia (P<0.001).

Conclusion: VAC treatment does not decrease treatment duration, but less pain is felt during dressing changes as fewer dressings are used. Patient tolerance to treatment is also improved. It may be considered that the use of VAC treatment in wound care for patients with FG could increase patients’ tolerance to treatment and quality of life.

How to cite: Vuruşkan E, Gürlen G, Alma E, Erçil H, Ünal U, Altunkol A, et al. Comparison of Vacuum-assisted Closure and Conventional Dressing Treatment Modalities for Fournier’s Gangrene. Eur J Ther 2020; 26(3): 257-62.

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EISSN 2564-7040