AI Article Synopsis
- * In three patients undergoing plastic surgery with skin flaps, LI-ESWT (involving 3 sessions per week) effectively closed wound dehiscence.
- * One patient saw complete wound closure and restoration of scrotal and penile skin, suggesting LI-ESWT may promote skin healing through stem cell activity, offering new potential for treating similar conditions.
Article Abstract
We report on postoperative management of wound healing in four cases of Fournier's gangrene successfully treated with low-intensity shockwave therapy (LI-ESWT). In three cases, LI-ESWT (3 sessions per week with 2000 shockwaves at 3 Hz applied at 0.25 mJ/mm) was able to close wound dehiscence secondary to plastic surgery with skin flaps. In one patient, LI-ESWT resulted in complete closure of an extensive wound with restoration of the local scrotal and penile skin. This is the first report of successful application of LI-ESWT for this indication. Restoration of local skin rather than wound closure by fibrous tissue could be related to promotion of stem cells, which has been discussed previously for other indications, such as treatment of chronic ulcers and restoration of the pelvic floor.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9483798 | PMC |
| http://dx.doi.org/10.1016/j.euros.2022.08.019 | DOI Listing |
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