Treatment of Fournier's Gangrene with Combination of Vacuum-Assisted Closure Therapy, Hyperbaric Oxygen Therapy, and Protective Colostomy
Fournier's gangrene is a rare process which affects soft tissue in the genital and perirectal area. It can also progress to all different stages of sepsis, and abdominal compartment syndrome can be one of its complications. Two patients in septic shock due to Fournier gangrene were admitted to...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2011/430983 |
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| author | Giovanni Zagli Giovanni Cianchi Sara Degl'Innocenti Jessyca Parodo Lorenzo Bonetti Paolo Prosperi Adriano Peris |
| author_facet | Giovanni Zagli Giovanni Cianchi Sara Degl'Innocenti Jessyca Parodo Lorenzo Bonetti Paolo Prosperi Adriano Peris |
| author_sort | Giovanni Zagli |
| collection | DOAJ |
| description | Fournier's gangrene is a rare process which affects soft tissue in the genital and perirectal area. It can also progress to all different stages of sepsis, and abdominal compartment syndrome can be one of its complications. Two patients in septic shock due to Fournier gangrene were admitted to the Intensive Care Unit of Emergency Department. In both cases, infection started from the scrotum and the necrosis quickly involved genitals, perineal, and inguinal regions. Patients were treated with surgical debridement, protective colostomy, hyperbaric oxygen therapy, and broad-spectrum antibacterial chemotherapy. Vacuum-assisted closure (VAC) therapy was applied to the wound with the aim to clean, decontaminate, and avoid abdominal compartmental syndrome development. Both patients survived and were discharged from Intensive Care Unit after hyperbaric oxygen therapy cycles and abdominal closure. |
| format | Article |
| id | doaj-art-d447826b230c4ab883dc2b1e98f62599 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-d447826b230c4ab883dc2b1e98f625992025-02-03T01:00:02ZengWileyCase Reports in Anesthesiology2090-63822090-63902011-01-01201110.1155/2011/430983430983Treatment of Fournier's Gangrene with Combination of Vacuum-Assisted Closure Therapy, Hyperbaric Oxygen Therapy, and Protective ColostomyGiovanni Zagli0Giovanni Cianchi1Sara Degl'Innocenti2Jessyca Parodo3Lorenzo Bonetti4Paolo Prosperi5Adriano Peris6Anaesthesia and Intensive Care Unit of Emergency Department, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, ItalyAnaesthesia and Intensive Care Unit of Emergency Department, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, ItalyAnaesthesia and Intensive Care Unit of Emergency Department, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, ItalyAnaesthesia and Intensive Care Unit of Emergency Department, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, ItalyAnaesthesia and Intensive Care Unit of Emergency Department, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, ItalyDepartment of General Surgery, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, ItalyAnaesthesia and Intensive Care Unit of Emergency Department, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, ItalyFournier's gangrene is a rare process which affects soft tissue in the genital and perirectal area. It can also progress to all different stages of sepsis, and abdominal compartment syndrome can be one of its complications. Two patients in septic shock due to Fournier gangrene were admitted to the Intensive Care Unit of Emergency Department. In both cases, infection started from the scrotum and the necrosis quickly involved genitals, perineal, and inguinal regions. Patients were treated with surgical debridement, protective colostomy, hyperbaric oxygen therapy, and broad-spectrum antibacterial chemotherapy. Vacuum-assisted closure (VAC) therapy was applied to the wound with the aim to clean, decontaminate, and avoid abdominal compartmental syndrome development. Both patients survived and were discharged from Intensive Care Unit after hyperbaric oxygen therapy cycles and abdominal closure.http://dx.doi.org/10.1155/2011/430983 |
| spellingShingle | Giovanni Zagli Giovanni Cianchi Sara Degl'Innocenti Jessyca Parodo Lorenzo Bonetti Paolo Prosperi Adriano Peris Treatment of Fournier's Gangrene with Combination of Vacuum-Assisted Closure Therapy, Hyperbaric Oxygen Therapy, and Protective Colostomy Case Reports in Anesthesiology |
| title | Treatment of Fournier's Gangrene with Combination of Vacuum-Assisted Closure Therapy, Hyperbaric Oxygen Therapy, and Protective Colostomy |
| title_full | Treatment of Fournier's Gangrene with Combination of Vacuum-Assisted Closure Therapy, Hyperbaric Oxygen Therapy, and Protective Colostomy |
| title_fullStr | Treatment of Fournier's Gangrene with Combination of Vacuum-Assisted Closure Therapy, Hyperbaric Oxygen Therapy, and Protective Colostomy |
| title_full_unstemmed | Treatment of Fournier's Gangrene with Combination of Vacuum-Assisted Closure Therapy, Hyperbaric Oxygen Therapy, and Protective Colostomy |
| title_short | Treatment of Fournier's Gangrene with Combination of Vacuum-Assisted Closure Therapy, Hyperbaric Oxygen Therapy, and Protective Colostomy |
| title_sort | treatment of fournier s gangrene with combination of vacuum assisted closure therapy hyperbaric oxygen therapy and protective colostomy |
| url | http://dx.doi.org/10.1155/2011/430983 |
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