{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:06:26Z","timestamp":1790251586914,"version":"4.1.0"},"reference-count":32,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Standard treatment for Fournier's gangrene (FG) includes hemodynamic stabilization, aggressive surgical debridement, and broad\u2010spectrum antibiotics. However, prolonged hospitalizations and multiple debridements increase costs and reduce productivity. This study compares vacuum\u2010assisted closure (VAC) therapy with open wound dressing (OWD) in post\u2010debridement management of FG.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Data of 60 patients diagnosed with FG and treated in our clinic were retrospectively analyzed. Data collected included demographic characteristics, comorbid systemic diseases, presence of sepsis at initial presentation, the origin of the gangrene (urogenital or perianal), FGSI, the need for additional surgical interventions during debridement (such as orchiectomy, penectomy, or colostomy), the type of wound dressing used (open wound dressing [OWD] or vacuum\u2010assisted closure [VAC]), the number of debridement sessions, length of hospital stay, the requirement for grafting during wound closure, and mortality outcomes. These variables were analyzed based on hospital records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      VAC therapy was applied to 30 patients (50%). The mean age of patients in the VAC group was 63.1\u2009\u00b1\u200911.7\u2009years, compared to 65.2\u2009\u00b1\u200912.1\u2009years in the OWD group. The VAC group had a significantly shorter average hospital stay (15.17\u2009\u00b1\u20099.19\u2009days) than the OWD group (22.8\u2009\u00b1\u200914.76\u2009days) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.019). Additionally, the mean number of debridement sessions was significantly lower in the VAC group (3.27\u2009\u00b1\u20092.15) compared to the OWD group (4.87\u2009\u00b1\u20093.17) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.026).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>VAC therapy is an effective method for FG management, reducing debridement sessions and hospital stay compared to OWD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70712","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T13:39:51Z","timestamp":1777556391000},"page":"2492-2497","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of the Role of VAC in the Treatment of Fournier's Gangrene"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0954-0914","authenticated-orcid":false,"given":"S\u00fcleyman","family":"\u00d6ner","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Department of Urology Eskisehir Osmangazi University  Eskisehir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9589-0949","authenticated-orcid":false,"given":"Utku","family":"Beky\u00fcrek","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Urology Eskisehir Osmangazi University  Eskisehir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0955-3923","authenticated-orcid":false,"given":"Bet\u00fcl Alt\u0131nta\u015f","family":"\u00d6ner","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology Eskisehir City Hospital  Eskisehir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4653-576X","authenticated-orcid":false,"given":"\u0130yimser","family":"\u00dcre","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Urology Eskisehir Osmangazi University  Eskisehir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7623-2145","authenticated-orcid":false,"given":"Ayd\u0131n","family":"Yenilmez","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Urology Eskisehir Osmangazi University  Eskisehir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"69","article-title":"Gangrene Foudroyante de la Verge","volume":"4","author":"Fournier J. 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