Liliana Grilo Miranda^1,1*, João Neves-Amado² and Paulo Alves²

¹Unidade Local de Saúde de Trás-os-Montes e Alto Douro, Vila Real, Portugal
²Instituto Ciências da Saúde da Universidade Católica Portuguesa, Porto, Portugal

*Corresponding Author: Liliana Grilo Miranda, Unidade Local de Saúde de Trás-os-Montes e Alto Douro, Vila Real, Portugal.

Received: December 23, 2024; Published: January 27, 2025

Abstract

Objectives: To present a case series of necrotizing perineal fasciitis; - To share expertise in the treatment of complex wounds with deep tissue infection, using Negative Pressure Wound Therapy.

Methodology: Case reports.

Results: We presente threee cases. First one of necrotizing perineal fasciitis in a female patient, and second and third of necrotizing fasciitis due to Founier gangrene in males (ICD – 10 N49.3). After cleaning and surgical debridement in the operating room, extensive and deep lesions resulted, with muscular involvement in a difficult anatomical region requiring bypass of the intestinal transit. Treatment was started with Negative Pressure Wound Therapy with dressing replacement 2 times a week, initially as an inpatient and then at the outpatient clinic until complete healing of the lesions.

Conclusion: With the use of Negative Pressure Wound Therapy we were able to heal these extensive and deep lesions located in difficult anatomical areas, with a significant reduction in healing time, allowing an early discharge, also contributing to a better quality of life for the person.

Keywords:Necrotizing Fasciitis; Negative Pressure Wound Therapy; Healing

References

1. Larsson JC., et al. “Abordagem cirúrgica combinada como alternativa menos invasiva no tratamento da Gangrena de Fournier”. Cirugía Plástica Ibero-Latinoamericana (2017): 94-96.
2. de Oliveira Florentino A., et al. “O uso da terapia por pressão negativa e sua aplicabilidade na Síndrome de Fournier”. Research, Society and Development9.11 (2020): e4019119447-e4019119447.
3. He R., et al. “Characteristics of Fournier gangrene and evaluation of the effects of negative-pressure wound therapy”. Frontiers in Surgery9 (2023): 1075968.
4. Altomare M., et al. “Negative Pressure Wound Therapy for the Treatment of Fournier’s Gangrene: A Rare Case with Rectal Fistula and Systematic Review of the Literature”. Journal of Personalized Medicine10 (2022): 1695.
5. Michalczy kŁ., et al. “Efficiency of Hyperbaric Oxygen Therapy Combined with Negative-Pressure Wound Therapy in the Treatment Strategy of Fournier’s Gangrene–A Retrospective Study”. Urology Journal4(2021): 329-332.
6. Chen SJ., et al. “Negative pressure wound therapy in necrotizing fasciitis of the head and neck”. Journal of Oral and Maxillofacial Surgery1 (2019): 87-92.
7. Guliyeva G., et al. “Practical Review of Necrotizing Fasciitis: Principles and Evidence-based Management”. Plastic and Reconstructive Surgery–Global Open1 (2024): e5533.
8. Miranda LSG., et al. “Feridas complexas: abordagem por equipa multidisciplinar. Uma scoping review”. Nursing (São Paulo)306 (2023): 10030-10037.
9. Contreras-Ruiz J., et al. “Negative pressure wound therapy in preseptal orbital cellulitis complicated with necrotizing fasciitis and preseptal abscess”. Ophthalmic Plastic and Reconstructive Surgery (2015).

Citation

Citation: Liliana Grilo Miranda., et al. “Necrotizing Perineal Fasciitis, A Challenge in Treatment!". Acta Scientific Clinical Case Reports 6.2 (2025): 46-49.

Copyright

Copyright: © 2025 Liliana Grilo Miranda., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.