Using negative pressure therapy for improving skin graft taking on genital area defects following Fournier gangrene

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dc.authorscopusid16024976400
dc.authorscopusid6602687131
dc.contributor.authorOrhan, Erkan
dc.contributor.authorŞenen, Dilek
dc.date.accessioned2022-05-11T14:36:53Z
dc.date.available2022-05-11T14:36:53Z
dc.date.issued2017
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Plastik, Rekonstrüktif ve Estetik Cerrahi Ana Bilim Dalı
dc.description.abstractObjective: Fournier's gangrene is an infective necrotizing fasciitis of the perineal, genital and perianal regions. Treatment includes aggressive surgical debridement that often results in extensive loss of genital skin. Skin grafts may be used for reconstruction but skin grafting of the male genitalia is diffucult because the penis and scrotum are mobile and deformable. A variety of methods are used to secure skin graft to recipient beds. We used negative pressure therapy (NPT) to secure skin grafts and improve skin graft taking. Material and methods: We used negative pressure therapy for graft fixation in 13 male patients who underwent debridements with the indication of Fournier gangrene, and whose defects formed were reconstructed with grafts between January 2009, and January 2014. Information about age of the patients, sessions of negative pressure therapy applied before, and after reconstruction, duration of hospital stay, and graft losses during postoperative period were recorded. Results: Median age of the patients was 56.15 (46-72) years. NPT was applied to patients for an average of 6.64 sessions (4-12) before and 1 sessions after graft reconstruction. Patients were hospitalized for an average of 26.7 (20-39) days. Any graft loss was not seen after NPT. Conclusion: Because of the peculiar anatomy of the genital region, anchoring of grafts is difficult so graft losses are often encountered. Use of NPT for ensuring graft fixation on the genital region prevents skin graft shearing.
dc.identifier.doi10.5152/tud.2017.92845
dc.identifier.endpage370
dc.identifier.issn2149-3235
dc.identifier.issn2149-3057
dc.identifier.issue3en_US
dc.identifier.pmid28861313
dc.identifier.scopus2-s2.0-85043311437
dc.identifier.scopusqualityQ3
dc.identifier.startpage366
dc.identifier.urihttps://doi.org/10.5152/tud.2017.92845
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8451
dc.identifier.volume43
dc.identifier.wosWOS:000410005000025
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorOrhan, Erkan
dc.language.isoen
dc.publisherAves
dc.relation.ispartofTurkish Journal of Urology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectFournier gangrene
dc.subjectnegative pressure therapy
dc.subjectskin graft
dc.subjectScrotal Reconstruction
dc.subjectPenile Shaft
dc.subjectManagement
dc.subjectDressings
dc.titleUsing negative pressure therapy for improving skin graft taking on genital area defects following Fournier gangrene
dc.typeArticle

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