Role of newer technologies in wound bed preparation in Fournier’s gangrene
Souradeep Dutta , Abhinav Aggarwal , Ravi Kumar Chittoria , Elankumar Subbarayan , Vinayak Chavan , Konda Sireesha Reddy , Saurabh Gupta , Chirra Likhitha Reddy
Plastic and Aesthetic Research ›› 2018, Vol. 5 ›› Issue (1) : 20
Fournier’s gangrene or necrotizing fasciitis of the perineum scrotum and penis is a highly debilitating condition with a high mortality rate of 20% to 88% reported in the literature. Management is multimodal, and the importance of aggressive debridement, broad-spectrum antibiotics and intensive supportive care cannot be emphasised. The addition of newer modalities of ulcer/wound management like low level laser therapy, hydrojet debridement and platelet rich plasma can be used to augment the existing principles of management and reduce the morbidity and mortality associated with the condition. This article is the authors’ experience with the condition and the above stated newer modalities in the management while staying true to the principles of management.
Fournier’s gangrene / low level laser therapy / platelet rich plasma / jet force technology / hydrojet debridement / wound bed preparation / insulin therapy
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