Vacuum-assisted closure device in the postoperative wound care for Fournier's gangrene: a systematic review.

摘要: To determine the effectiveness of Vacuum-Assisted Closure Device in postoperative wound care for Fournier's gangrene We performed a systematic review following databases: Medline (Ovid), EMBASE, and The Cochrane Central Register Controlled Trials (CENTRAL), from inception to nowadays. included RCTs analytical observational studies. Meta-analysis was not possible given clinical methodological heterogeneity six studies that compared VAC treated patients control group. length stay vs. conventional dressing higher all but one group had highest number surgical debridements requiring anesthesia. conventionally daily dressings, need additional changes, without Two found significantly mean scores VAS, analgesics patients. therapy is an effective method, it better than treatment. carries fewer less pain, analgesics, comes with interventions