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Treatment of Fournier's gangrene with a novel negative pressure wound therapy system

Jozef Verbelen UGent, Henk Hoeksema UGent, Alexander Heyneman UGent, Ali Pirayesh and Stan Monstrey UGent (2011) WOUNDS-A COMPENDIUM OF CLINICAL RESEARCH AND PRACTICE. 23(11). p.342-349
abstract
Fournier's gangrene (FG) is a complex condition that requires surgical debridement, hemodynamic support, antibiotics, and appropriate wound management. This study is the first to assess the use of a low-vacuum negative pressure wound therapy (LV-NPWT) system with low-adherent contact surface in two cases of FG. Methods. The protocol-of-care included twice weekly dressing changes and irrigation with a povidone-iodine-water mixture. Assessments included wound progression (% granulation tissue), ratings of dressing ingrowth, pain during treatment and at dressing changes, patient comfort, and ease-of-use. Results. A 51-year-old man (Patient A) developed FG after surgical removal of a perianal abscess. He received 16 days of LV-NPWT with five dressing changes. A 64-year-old man (Patient B) with multiple comorbidities, developed FG after traumatic injury. He received 20 days of LV-NPWT with six dressing changes. In both patients, LV-NPWT promoted rapid granulation tissue formation. Pain scores averaged low-to-moderate during treatment and dressing changes, and tissue ingrowth was minimal. Conclusion. Overall, ratings were favorable for LV-NPWT ease-of-use and patient comfort. Despite the complexity of these wounds, with the use of LV-NPWT, both wounds progressed to a point where they were able to successfully receive surgical closure with skin grafts and/or flaps. These cases may suggest that LV-NPWT may have a potential role in complex wound management.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
EXPERIENCE, MANAGEMENT, VACUUM-ASSISTED CLOSURE
journal title
WOUNDS-A COMPENDIUM OF CLINICAL RESEARCH AND PRACTICE
Wounds-Compend. Clin. Res. Pract.
volume
23
issue
11
pages
342 - 349
Web of Science type
Article
Web of Science id
000297538400005
JCR category
SURGERY
JCR impact factor
0.336 (2011)
JCR rank
178/198 (2011)
JCR quartile
4 (2011)
ISSN
1044-7946
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1957155
handle
http://hdl.handle.net/1854/LU-1957155
alternative location
http://www.woundsresearch.com/article/treatment-fournier%E2%80%99s-gangrene-novel-negative-pressure-wound-therapy-system
date created
2011-11-30 16:17:29
date last changed
2012-06-07 11:02:10
@article{1957155,
  abstract     = {Fournier's gangrene (FG) is a complex condition that requires surgical debridement, hemodynamic support, antibiotics, and appropriate wound management. This study is the first to assess the use of a low-vacuum negative pressure wound therapy (LV-NPWT) system with low-adherent contact surface in two cases of FG. Methods. The protocol-of-care included twice weekly dressing changes and irrigation with a povidone-iodine-water mixture. Assessments included wound progression (\% granulation tissue), ratings of dressing ingrowth, pain during treatment and at dressing changes, patient comfort, and ease-of-use. Results. A 51-year-old man (Patient A) developed FG after surgical removal of a perianal abscess. He received 16 days of LV-NPWT with five dressing changes. A 64-year-old man (Patient B) with multiple comorbidities, developed FG after traumatic injury. He received 20 days of LV-NPWT with six dressing changes. In both patients, LV-NPWT promoted rapid granulation tissue formation. Pain scores averaged low-to-moderate during treatment and dressing changes, and tissue ingrowth was minimal. Conclusion. Overall, ratings were favorable for LV-NPWT ease-of-use and patient comfort. Despite the complexity of these wounds, with the use of LV-NPWT, both wounds progressed to a point where they were able to successfully receive surgical closure with skin grafts and/or flaps. These cases may suggest that LV-NPWT may have a potential role in complex wound management.},
  author       = {Verbelen, Jozef and Hoeksema, Henk and Heyneman, Alexander and Pirayesh, Ali and Monstrey, Stan},
  issn         = {1044-7946},
  journal      = {WOUNDS-A COMPENDIUM OF CLINICAL RESEARCH AND PRACTICE},
  keyword      = {EXPERIENCE,MANAGEMENT,VACUUM-ASSISTED CLOSURE},
  language     = {eng},
  number       = {11},
  pages        = {342--349},
  title        = {Treatment of Fournier's gangrene with a novel negative pressure wound therapy system},
  url          = {http://www.woundsresearch.com/article/treatment-fournier\%E2\%80\%99s-gangrene-novel-negative-pressure-wound-therapy-system},
  volume       = {23},
  year         = {2011},
}

Chicago
VERBELEN, JOZEF, HENDRIK HOEKSEMA, ALEXANDER HEYNEMAN, Ali Pirayesh, and Stan Monstrey. 2011. “Treatment of Fournier’s Gangrene with a Novel Negative Pressure Wound Therapy System.” Wounds-a Compendium of Clinical Research and Practice 23 (11): 342–349.
APA
VERBELEN, J., HOEKSEMA, H., HEYNEMAN, A., Pirayesh, A., & Monstrey, S. (2011). Treatment of Fournier’s gangrene with a novel negative pressure wound therapy system. WOUNDS-A COMPENDIUM OF CLINICAL RESEARCH AND PRACTICE, 23(11), 342–349.
Vancouver
1.
VERBELEN J, HOEKSEMA H, HEYNEMAN A, Pirayesh A, Monstrey S. Treatment of Fournier’s gangrene with a novel negative pressure wound therapy system. WOUNDS-A COMPENDIUM OF CLINICAL RESEARCH AND PRACTICE. 2011;23(11):342–9.
MLA
VERBELEN, JOZEF, HENDRIK HOEKSEMA, ALEXANDER HEYNEMAN, et al. “Treatment of Fournier’s Gangrene with a Novel Negative Pressure Wound Therapy System.” WOUNDS-A COMPENDIUM OF CLINICAL RESEARCH AND PRACTICE 23.11 (2011): 342–349. Print.