Revista chilena de cirugía
versión On-line ISSN 0718-4026
BELTRAN S, MARCELO A et al. Negative Pressure wound therapy for the treatment of perineal necrotizing fasciitis. Rev Chil Cir [online]. 2008, vol.60, n.4, pp. 303-309. ISSN 0718-4026. doi: 10.4067/S0718-40262008000400007.
lntroduction: We discuss five patients treated at our institution. Besides the initial surgical debridement and antibiotic therapy, we used the negative-pressure wound therapy (NPVVT) as part of their treatment. Patients and methods: The NPVVT device was constructed with off-the-shelf components. After the diagnosis of perineal necrotizing fasciitis was established, all patients underwent surgical debridement of necrotic tissue. The wound was closed with the NPVVT system and left under negative-pressure central aspiration. After the wound was clean and no more surgical debridements were necessary, patients underwent local treatment. When they achieved granulation tissue, simple dressings were used. When the wound was contracting, we approximated the edges with an interrupted suture of Nylon, and allowed to heal by second intention. Conclusión: The use of NPWT stands as another valid option to manage the wound left after surgical debridement of the perineal gangrene and provides better and more comfortable management of the wound
Palabras clave : Perineal gangrene; Fournier's gangrene; Negative-pressure wound therapy; surgical debridement.