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Rev Urol. 2008;10(1):76-80.

Use of a Vacuum-Assisted Device for Fournier's Gangrene: A New Paradigm.

Reviews in urology

Jonathan Silberstein, Julia Grabowski, J Kellog Parsons

PMID: 18470279 PMCID: PMC2312348

Abstract

Fournier's gangrene is a necrotizing infection of the scrotum or perineum that requires aggressive surgical debridement. Radical debridement of perineal necrotizing fasciitis can leave extensive tissue defects that are difficult to close and often require multiple surgical interventions. Vacuum-assisted closure (VAC) devices have been shown to assist in a more rapid closure of these wounds, but placement of such devices in the perineum can pose significant challenges. We have had success with use of VAC devices and report our techniques for their placement.

Keywords: Fournier’s gangrene; Vacuum-assisted closure devices

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