Negative pressure wound therapy applied before and after split-thickness skin graft helps healing of fournier gangrene: A case report (CARE-compliant)

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Abstract

ABSTRACT: Fournier gangrene is a rare but highly infectious disease characterized by fulminant necrotizing fasciitis involving the genital and perineal regions. Negative pressure wound therapy (NPWT; KCI USA Inc, San Antonio, TX) is a widely adopted technique in many clinical settings. Nevertheless, its application and effect in the treatment of Fournier gangrene are unclear.A 47-year-old male patient was admitted with an anal abscess followed by a spread of the infection to the scrotum, which was caused by Pseudomonas aeruginosa. NPWT was applied on the surface of the scrotal area and continued for 10 days. A split-thickness skin graft from the scalp was then grafted to the wound, after which, NPWT utilizing gauze sealed with an occlusive dressing and connected to a wall suction was employed for 7 days to secure the skin graft.At discharge, the percentage of the grafted skin alive on the scrotum was 98%. The wound beside the anus had decreased to 4×0.5cm with a depth of 1 cm. Follow-up at the clinic 1 month later showed that both wounds had healed. The patient did not complain of any pain or bleeding, and was satisfied with the outcome.NPWT before and after split-thickness skin grafts is safe, well tolerated, and efficacious in the treatment of Fournier gangrene.

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Ye, J., Xie, T., Wu, M., Ni, P., & Lu, S. (2015). Negative pressure wound therapy applied before and after split-thickness skin graft helps healing of fournier gangrene: A case report (CARE-compliant). Medicine (United States), 94(5), e426. https://doi.org/10.1097/MD.0000000000000426

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