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Case Report

A multistep approach in fournier’s gangrene management: Serial surgical debridement, protective colostomy, vacuum assisted closure therapy and hyperbaric oxygen treatment


1 Gülhane Eğitim Araştırma Hastanesi, Üroloji Kliniği, Ankara, Turkiye

2 Gülhane Eğitim Araştırma Hastanesi, Sualtı Hekimliği ve Hiperbarik Tıp Kliniği, Ankara, Turkiye


DOI :
New J Urol. 2018; 13 (1): 56-59

Abstract

Fournier’ gangrene is a progressive and highly mortal necrotizing fasciitis of the ge-nital, perineal and perianal region. The most important step of the treatment includes early diagnosis and surgical debridement. In this two case report we aimed to discuss our mul-tistep treatment approach in Fournier’s gang-rene including serial surgical debridement, protective colostomy, vacuum assisted closu-re (VAC) and hyperbaric oxygen treatment. 

Keywords: Fournier’s Gangrene, Debri-dement, Protective Colostomy, Vacuum As-sisted Closure, Hyperbaric Oxygen Therapy


Abstract

Fournier’ gangrene is a progressive and highly mortal necrotizing fasciitis of the ge-nital, perineal and perianal region. The most important step of the treatment includes early diagnosis and surgical debridement. In this two case report we aimed to discuss our mul-tistep treatment approach in Fournier’s gang-rene including serial surgical debridement, protective colostomy, vacuum assisted closu-re (VAC) and hyperbaric oxygen treatment. 

Keywords: Fournier’s Gangrene, Debri-dement, Protective Colostomy, Vacuum As-sisted Closure, Hyperbaric Oxygen Therapy