Özet:

Fournier's Gangrene (FG) has been described as an aggressive necrotizing fasciitis that affects the perineal, perianal, or genital areas. Aggressive and complete surgical debridement of necrotic tissues should be performed in the early period in FG. We aimed to compare VAC and conventional dressing in the treatment of FG in terms of the time elapsed between initial surgery and grafting and the need for secondary debridement after grafting. The data of 48 patients who were diagnosed with FG by our Urology Clinic between 2015 and 2023, underwent surgical treatment and graft tissue closure were retrospectively analyzed. Clinical, pathophysiological features, predisposing factors, use of VAC or conventional dressings, number of graft losses, length of hospital stay were recorded. VAC and conventional groups were evaluated comparatively Of the total 48 patients who were followed up and treated with Fournier's Gangrene, 25 (52%) used VAK dressing in the postoperative period, while conventional dressing was used in 23 (48%). The mean length of hospital stay was 28 days in the VAC group, 48 days in the conventional group and significantly shorter in the VAC group. (p = 0.017). It was determined that secondary debridement was required after graft closure in 2 patients in the VAK group and in 6 patients in the conventional dressing group. Graft loss rates were statistically significantly less in the VAC dressing group than in the conventional dressing group. VAC treatment in FG accelerates wound healing, shortens hospital stay, and reduces secondary surgical intervention rates after tissue closure with grafting.

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