Local negative pressure therapy in a patient with acute ischiorectal paraproctitis complicated by the Fournier’s gangrene
https://doi.org/10.25199/2408-9613-2022-9-4-16-21
Abstract
The authors describe a clinical case of successful treatment of a patient with an ischiorectal abscess complicated by extensive purulentnecrotic phlegmon on the anterior abdominal wall and right thigh. Topical negative pressure wound technique (NPWT) was used. Its combination with surgical debridement and rational systemic antibiotic therapy has been shown to contribute to successful treatment of this life-threatening pathology.
About the Authors
V. G. PetrovRussian Federation
Viktor G. Petrov – MD, Dr. Sc. (med), Professor at the department of surgery and urology with the course of endoscopy; head of the surgical department
54 Odesskaya Str., 625000, Tyumen
1 Belyaeva Str., 625015, Tyumen
S. Yu. Mukhacheva
Russian Federation
Svetlana Yu. Mukhacheva – MD, Cand. Sc. (med), Assistant Professor at the department of anesthesiology and urology
54 Odesskaya Str., 625000, Tyumen
A. I. Alimov
Russian Federation
Artem I. Alimov – MD, surgeon
1 Belyaeva Str., 625015, Tyumen
I. A. Alimov
Russian Federation
Igor A. Alimov – MD, Cand. Sc. (med), Assistant Professor at the department of general surgery; surgeon
54 Odesskaya Str., 625000, Tyumen
1 Belyaeva Str., 625015, Tyumen
F. Sh. Aliev
Russian Federation
Fuad Sh. Aliev – MD, Dr. Sc. (med), head of the department of general surgery
1 Belyaeva Str., 625015, Tyumen
A. V. Efanov
Russian Federation
Andrey V. Efanov – MD, Cand. Sc. (med), Assistant Professor at the department of surgery and urology with the course of endoscopy
54 Odesskaya Str., 625000, Tyumen
N. S. Savelyev
Russian Federation
Nikita S. Savelyev – MD, lecturer at the department of general surgery; surgeon
54 Odesskaya Str., 625000, Tyumen
1 Belyaeva Str., 625015, Tyumen
References
1. Champion S. E. A case of Fournier’s gangrene: signs and symptoms. Urol Nurs. 2007; 27 (4): 296–299.
2. Jeong H. J., Park S. C., Seo I. Y., et al. Prognostic factors in Fournier gangrene. Int J Urol. 2005; 12 (12): 1041–1044.
3. Mallikarjuna M. N., Vijayakumar A., Patil V. S., et al. Fournier’s gangrene: current practices. ISRN Surg. 2012: 2012; 1–8.
4. Chen S. Y., Fu J. P., Wang C. H., et al. Fournier gangrene: a review of 41 patients and strategies for reconstruction. Ann Plast Surg. 2010; 64 (6): 765–769.
5. Rallis G., Skouteris D., Giouzelis D., et al. Fournier’s Gangrene.Report of Five Cases and Review. Hellenic Journal of Surgery. 2010; 82 (6): 381–387.
6. Silva J., Gomes J., Vendeira P., et al. Fournier’s gangrene: ten year experience at a single institution. Eur Urol Suppl. 2002; 1 (1): 178.
7. Manjon C. C., Sanchez A. T., Charneco A. S. Fournier’s gangrene: a serious infectious disease. Eur Urol Suppl. 2003; 2 (1): 18.
8. Johnin K., Nakatoh M., Kadowaki T., et al. Fournier’s gangrene caused by Candida species as the primary organism. Urology. 2000; 56 (1): 153.
9. Kumar S., Pushkarna A., Sharma V., et al. Fournier’s gangrene with testicular infarction caused by mucormycosis. Indian J Pathol Microbiol. 2011; 54 (4): 847–848.
10. Ayan F., Sunamak O., Paksoy S. M., et al. Fournier’s gangrene: a retrospective clinical study on forty-one patients. ANZ J Surg. 2005; 75 (12): 1055–1058.
11. Ersay A., Yilmaz G., Akgun Y., et al. Factors affecting mortality of Fournier’s gangrene: review of 70 patients. ANZ J Surg. 2007; 77 (1-2): 43–48.
12. Burton M. J., Shah P., Swiatlo E., et al. Community-acquired methicillinresistant Staphylococcus aureus as a cause of Fournier’s gangrene. Am J Med Sci. 2008; 335 (4): 327–328.
13. Kalorin C. M., Tobin E. H. Community associated methicillin resistant Staphylococcus aureus causing Fournier’s gangrene and genital infections. J Urol. 2007; 177 (3): 967–971.
14. Ferreira P. C., Reis J. C., Amarante J. M., et al. Fournier’s gangrene: a review of 43 reconstructive cases. Plast Reconstr Surg. 2007: 119 (1): 175– 184.
15. Kim I. Y. Gangrene: the prognostic factors and validation of severity index in Fournier’s gangrene. In: Gangrene – current concepts and management options. Vitin A., ed. 2011. http://www.intechopen.com/books/gangrene-current-conceptsand-management-options/gangrenetheprognostic-factors-and-validationof-severity-index-in-fournier-sgangrene.
16. Kara E., Muezzinoglu T., Temeltas G., et al. Evaluation of risk factors and severity of a life threatening surgical emergency: Fournier’s gangrene (a report of 15 cases). Acta Chir Belg. 2009; 109 (2): 191–197.
17. Kuo C. F., Wang W. S., Lee C. M., et al. Fournier’s gangrene: ten-year experience in a medical center in northern Taiwan. J Microbiol Immunol Infect. 2007; 40 (6): 500–506.
Review
For citations:
Petrov V.G., Mukhacheva S.Yu., Alimov A.I., Alimov I.A., Aliev F.Sh., Efanov A.V., Savelyev N.S. Local negative pressure therapy in a patient with acute ischiorectal paraproctitis complicated by the Fournier’s gangrene. Wounds and wound infections. The prof. B.M. Kostyuchenok journal. 2022;9(4):16-21. (In Russ.) https://doi.org/10.25199/2408-9613-2022-9-4-16-21