Abstract | INTRODUCTION: MATERIALS AND METHODS: We evaluated 6 cases of FG (males, mean age: 54.6 yrs) of the last 3 years (February 2008-August 2010). All patients were diabetics. We used intravenous antibiotic treatment and early surgical debridement with colostomy, followed by immediate positioning of a VAC device (NP 125-200 mmHg). The dressing changes were done every 3-4 days. Hyperbaric oxygen therapy (HBOT) was given only to one patient. Microbiological etiology was assessed by multiple cultures to tailor the antimicrobial treatment. RESULTS: The VAC therapy reduces the number of dressings and the hospital length of stay (LOS), in agreement with the literature; in one of the cases a secondary reconstructive surgical intervention was possible. The colostomy was reversed in all patients within 3 months. CONCLUSIONS: Negative pressure is a time saving device, reducing days of hospitalization, patient's discomfort and number of medications. The possibility of a early reconstructive surgery improves significantly quality of life.
|
Authors | M Assenza, V Cozza, E Sacco, I Clementi, B Tarantino, F Passafiume, L Valesini, P Bartolucci, C Modini |
Journal | La Clinica terapeutica
(Clin Ter)
Vol. 162
Issue 1
Pg. e1-5
( 2011)
ISSN: 1972-6007 [Electronic] Italy |
PMID | 21448535
(Publication Type: Evaluation Study, Journal Article, Review)
|
Chemical References |
|
Topics |
- Adult
- Aged
- Anti-Bacterial Agents
(therapeutic use)
- Colostomy
- Combined Modality Therapy
- Debridement
- Diabetes Complications
(surgery)
- Fournier Gangrene
(diagnostic imaging, drug therapy, surgery, therapy)
- Humans
- Hyperbaric Oxygenation
- Hypertension
(complications)
- Male
- Middle Aged
- Negative-Pressure Wound Therapy
- Obesity
(complications)
- Paraplegia
(complications)
- Retrospective Studies
- Tomography, X-Ray Computed
- Treatment Outcome
|