Vacuum-assisted closure device in the postoperative wound care for Fournier's gangrene: a systematic review

2020 ◽  
Author(s):  
Daniela Franco-Buenaventura ◽  
Herney Andrés García-Perdomo
Keyword(s):  
Systematic Review ◽  
Wound Care ◽  
Fournier’S Gangrene ◽  
Closure Device ◽  
Vacuum Assisted Closure ◽  
Fournier's Gangrene ◽  
Postoperative Wound

scholarly journals PENGEMBANGAN INTERVENSI PERAWATAN LUKA PADA FOURNIER GANGRENE DENGAN MENGGUNAKAN NEGATIVE PRESSURE WOUND CARE BERDASARKAN COMFORT THEORY

2015 ◽  
Vol 1 (2) ◽  
pp. 10
Author(s):  
Chindy Maria Orizani
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Chronic Wound ◽  
Wound Care ◽  
Fournier’S Gangrene ◽  
Vacuum Assisted Closure ◽  
Fournier's Gangrene ◽  
Wound Therapy ◽  
Fournier Gangrene ◽  
Comfort Theory

ABSTRAKFournier's gangrene merupakan fasciitis nekrotikans yang progresif pada daerah penis, skrotum, dan perineum dan memiliki potensi fatal dengan angka mortalitas tinggi dan termasuk dalam kasus kegawatdaruratan bedah dan urologi. Negative Pressure Wound Care merupakan perawatan luka pada pasien dengan Fournier’s Gangrene sebelum dilakukan debridemen dan digunakan sebagai metode untuk menurunkan nyeri dan meningkatkan kenyamanan klien. Tujuan dari studi ini adalah untuk melakukan analisis intervensi perawatan luka pada Fournier’s gangrene dengan menggunakan Negative Pressure Wound Care berdasar teori Comfort. Pencarian literatur yang relevan, dilakukan dengan mengakses database PubMed, ScienceDirect, dan SAGEPub dibatasi dari Januari 2006 sampai dengan Oktober 2015. Keywords yang digunakan adalah “Fournier’s gangrene”, “negative pressure wound therapy”, “Vacuum-assisted closure”, “chronic wound therapy”. Negative pressure wound therapy sangat efektif untuk mengontrol drainage luka setelah debridemen, mempermudah granulasi luka dan menurunkan penggunaan kasa/dressing luka dan proses perawatan dapat menimbulkan rasa nyaman bagi klien dibandingkan perawatan lain. Negative pressure wound therapy merupakan aplikasi tindakan keperawatan yang berdasarkan teori comfort yaitu meningkatkan kenyamanan klien dengan menurunkan tingkat nyeri yang dirasakan klien sehingga meningkatkan kualitas hidup klien. Kata kunci: Fournier’s gangrene, negative pressure wound therapy, penyembuhan luka ABSTRACTFournier's gangrene is a progressive necrotizing fasciitis in the area of the penis, scrotum, and perineum and potentially fatal disease with a high mortality rate and included in the case of emergency surgery and urology. Negative Pressure Wound Care is a wound care in patients with Fournier's Gangrene before debridement and used as a method to reduce pain and increase the comfort of the client. The aim of this study was to analyzed the wound care interventions on Fournier gangrene using Negative Pressure Wound Care on the Comfort theory. Search methods relevant literature, performed by accessing the databases PubMed, ScienceDirect, and SAGEPub restricted from January 2006 to October 2015. Keywords used were "Fournier's gangrene", "negative pressure wound therapy", "Vacuum-assisted closure", "chronic wound therapy ". Negative pressure wound therapy is very effective for controlling wound drainage after debridement, wound granulation simplify and reduce the use of gauze / dressing wounds and the treatment process may cause a sense of comfort for the client than other treatments. Negative pressure wound therapy is the application of nursing actions based on the comfort theory which can improve client comfort by lowering the level of pain felt by clients thus improving quality of life for clients. Keywords: Fournier’s gangrene, negative pressure wound therapy, wound healing DOWNLOAD FULL TEXT PDF >>

scholarly journals Comparison of Standard Open Wound Care and Vacuum-assisted Closure Therapy in Fournier’s Gangrene

2020 ◽  
Vol 7 (1) ◽  
pp. 42-45
Author(s):  
Zülfikar Ulaş Bali ◽  
Caner Buğra Akdeniz ◽  
Talha Müezzinoğlu ◽  
Oktay Üçer ◽  
Eray Kara
Keyword(s):  
Wound Care ◽  
Fournier’S Gangrene ◽  
Vacuum Assisted Closure ◽  
Fournier's Gangrene ◽  
Open Wound ◽  
Vacuum Assisted Closure Therapy

scholarly journals Fournier’s Gangrene in Patients with Oncohematological Dis-Eases: A Systematic Review of Published Cases

Healthcare ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 1123
Author(s):  
Massimiliano Creta ◽  
Antonello Sica ◽  
Luigi Napolitano ◽  
Giuseppe Celentano ◽  
Roberto La Rocca ◽  
...  
Keyword(s):  
Systematic Review ◽  
Myeloid Leukemia ◽  
Fournier’S Gangrene ◽  
Lymphocytic Leukemia ◽  
Original Research ◽  
Vacuum Assisted Closure ◽  
Fournier's Gangrene ◽  
Hematological Disorders ◽  
Increased Risk ◽  
Related Mortality

Patients suffering from hematological malignancies are at increased risk of Fournier’s gangrene (FG) due to immunosuppression caused by the disease itself or by disease-related treatments. A systematic review of PubMed, ISI Web of Knowledge, and Scopus databases was performed in June 2021. We included full papers that met the following criteria: original research, human studies, and describing clinical presentation, treatment, and outcomes of FG in patients with oncohematological diseases. We identified 35 papers published from 1983 to 2021 involving 44 patients (34 males, 8 females) aged between 4 days and 83 years. The most common malignant hematological disorders were acute myeloid leukemia (n = 21) and acute lymphocytic leukemia (n = 9). In 10 patients FG represented the first presentation of hematological malignancy. Scrotum (n= 27) and perineum (n = 11) were the sites most commonly involved. Pseudomonas aeruginosa (n = 21) and Escherichia coli (n = 6) were the most commonly isolated microorganisms. Surgery was performed in 39 patients. Vacuum-assisted closure and hyperbaric oxygen therapy were adopted in 4 and in 3 patients, respectively. Recovery was achieved in 30 patients. FG-related mortality was observed in 11 patients. FG should be carefully considered in patients with oncohematological diseases.

scholarly journals Fournier’s gangrene mortality: A 17-year systematic review and meta-analysis

2020 ◽  
Vol 92 ◽  
pp. 218-225 ◽  
Author(s):  
Amr Ehab El-Qushayri ◽  
Khalid Muhammad Khalaf ◽  
Abdullah Dahy ◽  
Abdalla Reda Mahmoud ◽  
Amira Yasmine Benmelouka ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene

scholarly journals Fournier’s Gangrene Diagnosis and Treatment: A Systematic Review

Cureus ◽  
2021 ◽  
Author(s):  
Gregory D Lewis ◽  
Maliha Majeed ◽  
Catherine A Olang ◽  
Arjun Patel ◽  
Vasavi Rakesh Gorantla ◽  
...  
Keyword(s):  
Systematic Review ◽  
Fournier’S Gangrene ◽  
Diagnosis And Treatment ◽  
Fournier's Gangrene

scholarly journals Use of vacuum-assisted closure device in a disastrous form of abdominal sepsis and stoma site infection: Systematic review and report of a case

2012 ◽  
Vol 59 (2) ◽  
pp. 111-115
Author(s):  
Milos Popovic ◽  
Goran Barisic ◽  
Velimir Markovic ◽  
Jelena Petrovic ◽  
Zoran Krivokapic
Keyword(s):  
Systematic Review ◽  
Open Abdomen ◽  
Abdominal Sepsis ◽  
Fascial Closure ◽  
Closure Device ◽  
Diffuse Peritonitis ◽  
Site Infection ◽  
Vacuum Assisted Closure ◽  
Primary Fascial Closure

Use of Vacuum-Assisted Closure (VAC) for treatment of open abdomen has been established predominantly in cases of severe abdominal trauma, resulting with high percentage of primary fascial closure. The role of VAC technique in cases of severe diffuse peritonitis is not definitely incorrigible. However, in cases of severe complicated abdominal sepsis VAC come up as a last resort.

scholarly journals Empagliflozin Use and Fournier’s Gangrene: Case Report and Systematic Literature Review

Surgeries ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. 174-179
Author(s):  
Mario Antunes ◽  
Antonio Cabrera de León ◽  
Damiano Pizzol ◽  
Amir Hussein Abubacar Seni ◽  
Mike Trott ◽  
...  
Keyword(s):  
Systematic Review ◽  
Case Report ◽  
Female Patient ◽  
Low Income ◽  
Fournier’S Gangrene ◽  
Genital Infection ◽  
Fournier's Gangrene ◽  
Balanced Diet ◽  
Low Income Setting

Background: Fournier’s gangrene (FG) is a rare necrotising soft tissue infection localised in the genital areas with possible dramatic outcomes. Recently, sodium glucose co-transporter-2 (SGLT2) inhibitors were identified as a risk factor. Methods: We present a case report of a 57-year-old female patient with type 2 diabetes mellitus (T2DM) in treatment with empagliflozin which led to the development of FG. Moreover, we performed a systematic review assessing the association between empagliflozin use and FG. Results: The female patient with 15-years treated diabetes presented a massive FG after 6 months from starting empagliflozin. Over the period of two months, she was successfully treated in a low-income setting. The systematic review included two studies with a total of 9915 participants. Although no participant had FG, there was an increased rate of urinary and genital infection in patients treated with empagliflozin compared to those treated with other antidiabetics or placebo. Conclusions: FG should be considered as a possible complication in patients using SGLT2. Patients should be educated to report early signs of genital infection and healthy behaviours as well as a balanced diet should be promoted to aid in the prevention of FG.

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