Fournier's gangrene is a rapidly progressing necrotizing fasciitis, involving perineal, perianal, or genital regions, and it constitutes a true surgical emergency. Surgical excision of all necrotic tissue is required, and multiple debridements may be necessary to remove all nonviable tissue. After surgical intervention for debridement, reconstruction may be necessary. We present our experience ...

Key Points: • Closed peritoneal drainage is indicated if the source of peritonitis can be identified and surgically corrected. • Open peritoneal drainage is indicated in cases where the source of contamination cannot be identified, contamination is severe or longstanding or the virulence of organisms is high. • Vacuum assisted closure is a relatively new concept in veterinary medicine that can ...

A 57-year-old man was diagnosed with lung cancer and underwent pneumonectomy and mediastinal lymph node dissection. He was discharged without acute complications, but on a regular outpatient follow-up, he was readmitted with postpneumonectomy empyema. He was successfully treated with a vacuum-assisted closure device and for 1 year period of outpatient follow-up, there was no recurrence of empye...

Learning Objectives: After studying this article, the participant should be able to: 1. Describe the anatomy of the anterior abdominal wall, including the neurovasculature and musculofascial layers. 2. List the goals of abdominal wall reconstruction. 3. Discuss the components of the preoperative evaluation of abdominal wall reconstruction. 4. Discuss the considerations in determining immediate ...

Vacuum-assisted closure (VAC) is gaining popularity in the management of many types of acute and chronic wounds. The use of VAC devices in thoracic surgery is limited, but it appears to be promising in complex cases of empyema thoraces. We report a case of empyema necessitans, in which VAC was used to achieve complete wound healing after open drainage which was communicating with the pleural sp...

Options 1. Clindamycin should be considered in initial coverage for its effects on exotoxin production in group A beta-hemolytic Streptococcus (GAS) infections. 2. Vacuum-assisted closure devices may be helpful in secondary wound management after debridement of NSTIs. 3. Empiric vancomycin may be warranted during pending culture results to cover for the increasing incidence of community-acquire...

Contaminated midline abdominal wounds are often left open and allowed to close via secondary intention to prevent surgical site infections. Negative pressure wound therapy (NPWT) devices have decreased time of healing by secondary intention when compared to the prior standard of moist dressings. The authors report a modification of NPWT that utilizes the unique characteristics of the negative ...