Forniere Gangreni Tedavisinde Çok Basamaklı Yaklaşım: Seri Cerrahi Debridman, Koruyucu Kolostomi, Vakum Yardımlı Kapatma Ve Hiperbarik Oksijen Tedavisi

Abstract

Fournier gangreni (FG) genital, perineal ve perianal bölgenin progresif ve yüksek mortalite oranlarına sahip nekrotizan fasiitidir ve erken tanı ve geniş cerrahi debridman da hastalığın tedavisindeki en önemli basamaktır. Bizde iki olguluk bu çalışmamızda, FG tedavisinde uyguladığımız seri cerrahi debridman, koruyucu kolostomi, vakum yardımlı kapatma (VAC) ve hiperbarik oksijen tedavisini içeren çok basamaklı tedavi yaklaşımımızı sunduk. 

Keywords

• Forniere Gangreni
• Debridman
• Koruyucu Kolostomi
• Vakum Yardımlı Kapatma
• Hiperbarik Oksijen Tedavisi

A Multistep Approach In Fournier’s Gangrene Management: Serial Surgical Debridement, Protective Colostomy, Vacuum Assisted Closure Therapy And Hyperbaric Oxygen Treatment

Abstract

Fournier’ gangrene is a progressive and highly mortal necrotizing fasciitis of the genital, perineal and perianal region. The most important step of the treatment includes early diagnosis and surgical debridement. In this two case report we aimed to discuss our multistep treatment approach in Fournier’s gangrene including serial surgical debridement, protective colostomy, vacuum assisted closure (VAC) and hyperbaric oxygen treatment. 

Keywords

• Fournier’s Gangrene
• Debridement
• Protective Colostomy
• Vacuum Assisted Closure
• Hyperbaric Oxygen Therapy

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