[abstract] NURSING IMPLICATIONS- USE OF ZASSI BOWEL MANAGEMENT SYSTEM, NEGATIVE PRESSURE WOUND THERAPY AND HBO IN THE MANAGEMENT OF FOURNIER'S GANGRENE

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[abstract] NURSING IMPLICATIONS- USE OF ZASSI BOWEL MANAGEMENT SYSTEM, NEGATIVE PRESSURE WOUND THERAPY AND HBO IN THE MANAGEMENT OF FOURNIER'S GANGRENE

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Title: [abstract] NURSING IMPLICATIONS- USE OF ZASSI BOWEL MANAGEMENT SYSTEM, NEGATIVE PRESSURE WOUND THERAPY AND HBO IN THE MANAGEMENT OF FOURNIER'S GANGRENE
Author: Krebsbach, C; Skarban, M
Abstract: BACKGROUND: It is known that Fournier's Gangrene, a form of necrotizing fasciitis, is a fulminating infection of the perineum usually found in men that results in progressive soft tissue damage of the perineum and external genitalia. Gozal and coworkers report early recognition, radical surgeries, aggressive antibiotic therapy, adjunctive HBO and close monitoring of progression are hallmark in the treatment of this remarkable debilitating disease process and reduces the mortality rate from the expected 38percent to 12.5percent.1 MATERIALS AND METHODS: Case study and review of 68-year-old male diagnosed with Fournier s Gangrene RESULTS: Case study reveals aggressive surgical debridement resulting in complete full thickness skin loss to the penile shaft, scrotum and perineum. Post-operative management included a combination of implementation of the Zassi bowel management system to control wound fecal contamination, hyperbaric oxygen therapy, negative pressure wound therapy, and continuous topical antimicrobial wound infusion. CONCLUSIONS: Multidisciplinary/multi-modality approach successfully prepared the patient and wound bed for primary closure and skin grafting within 21 days of initial diagnosis. Use of the bowel management system reduced the possibility of secondary infections related to fecal contamination while preventing an additional surgical procedure for a diverting colostomy. Innovative use of continuous topical antimicrobial solutions with the negative pressure wound therapy reduced the amount of painful dressing changes while maintaining a clean wound bed base for healing. (1)Sheffield, P.J., Smith, A.P.S., and Fife, C. E. (2004) Wound Care Practice. Best Publishing Company
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/1802
Date: 2005

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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