title: Curative treatment without surgical reconstruction after perineal debridement of Fournier's gangrene.
abstract: BACKGROUND
  Fournier's gangrene (necrotizing fasciitis) is an acute life-threatening disease of the perineal area that requires urgent medical intervention. Once the affected area is surgically debrided and the patient is stabilized, surgical management typically involves 1 or more additional procedures that may include split-thickness skin grafts, flaps, or an elective diverting urostomy and/or colostomy. The professional literature discussing nonsurgical approaches to healing for Fournier's gangrene after surgical debridement is sparse.
  
  
  METHODS
  We present 3 cases of male patients with Fournier's gangrene from our facility who healed uneventfully with negative pressure wound therapy placed after extensive debridement without further surgical intervention. An added benefit was a satisfactory aesthetic effect.
  
  
  CONCLUSIONS
  Expert wound management including negative pressure wound therapy after surgical debridement of Fournier's gangrene eliminated the need for further operative procedures and prolonged hospitalizations in these cases. We believe that surgical teams should consider using negative pressure wound therapy as part of the initial curative plan of care after debridement, and that plans for restorative plastic surgery should be restricted to patients who do not exhibit adequate improvement with conservative wound management.
authors.affiliation: Ralph H. Johnson VA Medical Center, Charleston, South Carolina 29401, USA. Gwammyliz@heavi.tv
authors.forename: Elizabeth Geiger
authors.initials: EG
authors.lastname: Jones
authors.forename: Ahmed M
authors.initials: AM
authors.lastname: El-Zawahry
mesh_terms: D000368:Aged; D003131:Combined Modality Therapy; D015897:Comorbidity; D003646:Debridement; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000453:epidemiology; D018934:Fournier Gangrene / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy; D010502:Perineum / Q000601:surgery; D012611:Scrotum / Q000601:surgery