THE EFFECT OF VAC USE ON HOSPITAL LENGTH OF STAY IN PATIENTS WITH FOURNIER'S GANGRENE

Öz

Objective In this study, it was aimed to Show that the use of vacuum assisted wound closure (VAC) in patients with Fournier's gangrene reduces the length of stay in the hospital. Material and Method This is a retrospective study, and it was created by examining the information of 78 patients diagnosed with Fournier's gangrene, who applied to our hospital between 1 June 2019 and 31 January 2022, from the hospital registry system. Student T test was used for comparison and p value<0.05 was considered statistically significant. Results While 21 (27%) of the patients were treated with VAC, 57 (73%) were followed by dressing. The mean hospitalization period of the patients was found to be 28.29±17.87. While the mean hospital stay was 19.29 in patients using VAC, it was 31.61 in the group followed up with dressing. It was found statistically significant that the use of VAC reduced the length of stay (p=0.006). Conclusion Wound care and follow-up in Fournier's gangrene is a very laborious process for surgeons who follow up clinically; the effectiveness of the treatment methods is equivalent to each other. Therefore, the length of hospital stay is important, and theuse of VAC reduces the length of hospital stay. The fact that the number of patients in our study is 3-4 times higher than the number of patients found in many systematic reviews in the literature also suggests that our contribution to the literature is important.

Anahtar Kelimeler

• Fournier
• Vacuum assisted wound closure (VAC)
• Wound care

FOURNİER GANGRENİ HASTALARINDA VAC KULLANIMININ HASTANE YATIŞ SÜRESİNE ETKİSİ

Öz

Amaç Bu çalışmada fournier gangreni hastalarında vakum yardımlı yara kapatması (VAC) kullanımının hastanedeki yatış süresini azalttığını göstermek amaçlanmıştır. Gereç ve Yöntem Bu bir retrospektif çalışma olup hastanemize 1 Haziran 2019- 31 Ocak 2022 tarihleri arasında başvurup fournier gangreni tanısı alan 78 hastanın bilgilerinin hastane kayıt sisteminden incelenmesiyle oluşturulmuştur. Karşılaştırmalarda Student T testi kullanılmış olup p değeri <0,05 istatistiksel olarak anlamlı kabul edilmiştir. Bulgular Hastaların 21’i (%27) VAC ile tedavi edilirken, 57’si (%73) pansuman ile takip edildi. Hastaların yatış süresi ortalama 28,29±17,87 olarak saptandı. VAC kullanan hastalarda yatış süresi ortalama 19,29 iken, pansuman ile takip edilen grupta 31,61 olarak saptandı. VAC kullanımının yatış süresini azalttığı istatistiksel olarak anlamlı bulundu (p=0,006). Sonuç Fournier gangreninde yara bakımı ve takibi klinik takibini yapan cerrahlar açısından oldukça zahmetli bir süreç olup; tedavi yöntemlerin etkinliği birbirine eş değerdir. Bu yüzden hastane yatış süresi önemli olup VAC kullanımı hastane yatış süresini azaltmaktadır. Çalışmamızdaki hasta sayısının literatürdeki pek çok sistematik derlemede bulunan hasta sayısının 3-4 kat fazla olması da literatüre yapacağımız katkının önemli olduğunu düşündürmektedir.

Anahtar Kelimeler

• fournier gangreni
• vakum yardımlı yara kapatması (VAC)
• yara bakımı
• Fournier
• Vacuum assisted wound closure (VAC)
• Wound care

Kaynakça

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