抄録
Fournier's gangrene is a life-threatening infection that rapidly spreads to the genital and perineal regions, leading to tissue necrosis. Prompt surgical intervention and antibiotic therapy are essential for the patient survival. We herein report a case of Fournier's gangrene in a 56-year-old man who was referred to our plastic surgery department with the chief complaint of anal pain. Computed tomography revealed diffuse swelling, increased fat density, and subcutaneous air in the scrotum, perineum, and buttocks. After surgical debridement and infection control, the wound was treated with wall-mounted suction-based negative pressure wound therapy in conjunction with staged partial wound closure. Staged partial suturing of the deep perianal wound was performed twice in conjunction with negative pressure wound therapy, which promoted favorable granulation tissue formation and progressive healing without signs of recurrence or infection. This case suggests that the combination of wall-mounted suction-based negative pressure wound therapy and staged partial suturing at the bedside may represent an effective strategy for managing complex perianal wounds.
Schematic illustration of staged partial wound closure combined with NPWT.
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Layered closure of the deep wound was performed stepwise to reduce dead space, followed by the application of NPWT to promote healing. The procedure was repeated one week later with additional deep-layer closure and NPWT application. This bedside approach facilitates wound healing. NPWT: negative pressure wound therapy
