Surgical and Vascular Nursing
eISSN: 2084-9850
ISSN: 1897-3116
Pielęgniarstwo Chirurgiczne i Angiologiczne/Surgical and Vascular Nursing
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2/2025
vol. 19
 
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abstract:
Review paper

The effectiveness of negative-pressure wound therapy in the treatment of Fournier’s gangrene – a literature review

Filip Jacek Maj
1
,
Karol Bartłomiej Sornat
1
,
Agata Estreicher
2
,
Anna Maria Klasa
3
,
Aleksandra Ewa Sobaś
1
,
Kamil Biedka
2
,
Oliwia Ziobro
2
,
Katarzyna Błaszczyk
2
,
Barbara Pokora
2
,
Jakub Bulski
1

  1. Collegium Medicum, Jan Kochanowski University, Kielce, Poland
  2. Department of Physiology and Pathophysiology, Division of Pathophysiology, Wroclaw Medical University, Wrocław, Poland
  3. University Hospital, Kraków, Poland
Pielęgniarstwo Chirurgiczne i Angiologiczne 2025; 19(2): 41-47
DOI: https://doi.org/10.5114/.2025.152326
Online publish date: 2025/06/25
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The purpose of our study was to compare vacuum-assisted closure (VAC) and conventional dressings in the wound therapy of Fournier’s gangrene. On 3 November 2024 the MEDLINE database was searched. The following search query was used: “Fournier gangrene AND negative-pressure wound therapy” with one filter “free full text”. The initial search returned 38 results. After screening of abstracts, 28 results were chosen for full text analysis, 6 of which met inclusion criteria and were included in the study. The average hospitalization time for the group with conventional dressings was 22.8 days, while for the group with VAC therapy was 24.8 days. In contrast, the average time from initial surgical debridement to wound closure for conventional dressings was 49.5 days, compared to 40 days for VAC therapy. Our study showed that the average hospitalization time was shorter for patients treated with conventional dressings than for those treated with VAC therapy. In contrast, the average time from initial surgical debridement to wound closure was shorter for the VAC method than for conventional dressings.
keywords:

Fournier’s gangrene, treatment, wounds, soft tissue infection, negative-pressure wound therapy, vacuum-assisted closure therapy, wound healing techniques
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