title: Treatment of Fournier's Gangrene with Combination of Vacuum-Assisted Closure Therapy, Hyperbaric Oxygen Therapy, and Protective Colostomy.
abstract: Fournier's gangrene is a rare process which affects soft tissue in the genital and perirectal area. It can also progress to all different stages of sepsis, and abdominal compartment syndrome can be one of its complications. Two patients in septic shock due to Fournier gangrene were admitted to the Intensive Care Unit of Emergency Department. In both cases, infection started from the scrotum and the necrosis quickly involved genitals, perineal, and inguinal regions. Patients were treated with surgical debridement, protective colostomy, hyperbaric oxygen therapy, and broad-spectrum antibacterial chemotherapy. Vacuum-assisted closure (VAC) therapy was applied to the wound with the aim to clean, decontaminate, and avoid abdominal compartmental syndrome development. Both patients survived and were discharged from Intensive Care Unit after hyperbaric oxygen therapy cycles and abdominal closure.
authors.affiliation: Anaesthesia and Intensive Care Unit of Emergency Department, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Zagli
authors.forename: Giovanni
authors.initials: G
authors.lastname: Cianchi
authors.forename: Sara
authors.initials: S
authors.lastname: Degl'innocenti
authors.forename: Jessyca
authors.initials: J
authors.lastname: Parodo
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Bonetti
authors.forename: Paolo
authors.initials: P
authors.lastname: Prosperi
authors.forename: Adriano
authors.initials: A
authors.lastname: Peris