Comparison of Negative Pressure Wound Therapy and Conventional Dressing of Fournier's Gangrene

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dc.contributor.authorAktaş, Mehmet
dc.contributor.authorDağgülli, Mansur
dc.date.accessioned2025-02-22T14:13:27Z
dc.date.available2025-02-22T14:13:27Z
dc.date.issued2024
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjectives: The aim of this study is to compare two patient groups diagnosed with Fournier's Gangrene (FG) and treated with negative pressure wound therapy (NPWT) and conventional wound dressing (CWD) methods. Materials and Methods: 64 patients with FG, who were followed up and treated at the Urology clinic of University Hospital between January 2011 and July 2020, were included in the study. Patients were divided into two groups: While group 1 received CWD treatment, group 2 received NPWT. Demographic characteristics, etiology, length of stay, number of debridements, additional surgeries, Fournier Gangrene Severity Index (FGSI) scores, analgesic needs, area of necrosis and amount of involvement of the patients were retrospectively analyzed. Results: 37 patients in group 1 and 27 patients in group 2 were included in the study. All patients were male. The mean hospital stay was 17.9 ± 1.8 days in group 1, while it was 12.7 ± 1.1 days in group 2 (p:0.91). The mean debridement numbers in Group 1 and Group 2 were 7.1 ± 0.8 and 3.7 ± 0.3, respectively (p:0.004). The mean number of daily analgesic use in Group 1 and Group 2 was 2.4 ± 0.12 and 1.44 ± 0.08, respectively (p<0.001). The mean area of necrosis was 124 ± 11.3 cm2 and 147 ± 18.1 cm2, respectively (p:0.614). In group 1 and group 2, 4 and 2 patients died, respectively (p:1.00). Conclusion: NPWT reduced the treatment burden of this disease by reducing the number of debridements and analgesic use. However, NPWT did not reduce the length of hospital stay.en_US
dc.identifier.doi10.5505/GJU.2024.84856
dc.identifier.endpage46en_US
dc.identifier.issn2757-7163
dc.identifier.issue2en_US
dc.identifier.startpage40en_US
dc.identifier.trdizinid1236983en_US
dc.identifier.urihttps://doi.org/10.5505/GJU.2024.84856
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1236983
dc.identifier.urihttps://hdl.handle.net/11468/29972
dc.identifier.volume4en_US
dc.indekslendigikaynakTR-Dizin
dc.language.isoenen_US
dc.relation.ispartofGrand journal of urology (Online)en_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_TR_20250222
dc.subjectNegative pressure wound therapyen_US
dc.subjectanalgesicsen_US
dc.subjectFournier’s gangreneen_US
dc.subjectdebridementsen_US
dc.subjectFGSIen_US
dc.titleComparison of Negative Pressure Wound Therapy and Conventional Dressing of Fournier's Gangreneen_US
dc.typeArticleen_US

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