A Case of Fournier's Gangrene, in which the Use of a Fecal Incontinence Management System (Flexi-Seal®) Allowed Treatment without the Creation of a Colostomy

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  • 直腸用カテーテル(フレキシシール®)を使用し人工肛門を造設せずに治療を行うことができたFournier壊疽の1例

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Early and sufficient debridement is vital in the treatment of Fournier’s gangrene. Since the location of the inflammation is close to the anus, problems can arise post-surgery in terms of controlling bowel movements. In this case, we treated a 75-year-old man with Fournier's gangrene, performing debridement as far as the lower abdominal region, and used Flexi-Seal®post-operatively to allow control of bowel movement without the creation of a colostomy. Furthermore, the patient was additionally treated with hyperbaric oxygen therapy, with the aim of accelerating wound healing. The use of Flexi-Seal®prevented wound contamination, with the result that granulation of the wound progressed well, and it was possible to close the wound completely on the 27th day after admission. It is likely that the combined use of Flexi-Seal® and hyperbaric oxygen therapy is an effective means of treatment for Fournier’s gangrene.

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