<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852017000400312</article-id>
<article-id pub-id-type="doi">10.24245/revmexurol.v77i4.1085</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Sistema de cierre asistido por vacío en el tratamiento de la gangrena de Fournier: a propósito de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Vacuum-assisted closure system in the treatment of Fournier&#8217;s gangrene: a case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Preciado-Estrella]]></surname>
<given-names><![CDATA[DA.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calvo-Vázquez]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cortés-Raygoza]]></surname>
<given-names><![CDATA[PA.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Méndez]]></surname>
<given-names><![CDATA[EA.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Dr. Manuel Gea González División de Urología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2017</year>
</pub-date>
<volume>77</volume>
<numero>4</numero>
<fpage>312</fpage>
<lpage>317</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852017000400312&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852017000400312&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852017000400312&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES:  la gangrena de Fournier es un proceso inflamatorioinfeccioso, agudo y fulminante que produce necrosis de la piel y fascias del escroto, pene y periné, incluso puede provocar la muerte en 45% de los casos.  CASO CLÍNICO:  paciente de 62 años de edad, sin alteraciones de importancia para el padecimiento actual, con antecedente de intervención quirúrgica por estenosis de uretra una semana previa al ingreso hospitalario. A la exploración física se encontró edema, eritema genital y perineal, que se extendía hacia ambas ingles e hipogastrio, sin afectación del ano. Las pruebas de laboratorio reportaron concentración de 32,000 leucocitos y bandemia con índice de severidad de 10 puntos de gangrena de Fournier. Se realizó debridación agresiva de los genitales y el periné, donde se encontró necrosis y exudado purulento que se infiltraba y extendía a las fascias de Camper, Scarpa y aponeurosis anterior hasta 10 cm por arriba de la sínfisis del pubis. Se continuó con debridamiento y a partir del tercer lavado se implementó el sistema de cierre asistido por vacío, hasta completar 5 lavados más en quirófano, con cambio del sistema. El paciente evolucionó adecuadamente, por lo que egresó a los 24 días postratamiento.  CONCLUSIÓN:  el sistema de cierre asistido por vacío representa un método efectivo, útil y reproducible en pacientes con gangrena de Fournier. Garantiza buenos resultados funcionales y estéticos, además de disminuir las complicaciones y estancia hospitalarias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND: Fournier&#8217;s gangrene is an acute and fulminating inflammatory-infectious process that produces necrosis of the skin and the fasciae of the scrotum, penis, and perineum. The disease can be fatal in up to 45% of the cases, and it requires multidisciplinary management.  CLINICAL CASE: A 62-year-old man, with no alterations relevant to his present condition, had undergone surgery due to urethral stricture one week prior to hospital admission. Physical examination revealed genital and perineal edema and erythema that extended to both inguinal regions and the hypogastrium, sparing the anus. Neutrophilia with 32,000 leukocytes and bandemia with a Fournier&#8217;s Gangrene Severity Index of 10 points were reported in the laboratory work-up. Aggressive debridement of the genitals and perineum was performed, finding necrosis and purulent exudate that extended to and infiltrated the fascia of Camper, fascia of Scarpa, and the anterior aponeurosis up to 10 cm above the pubic symphysis. The debridement was continued, and from the third lavage, was managed through the vacuum-assisted closure system. Five more lavages were completed in the operating room and the devices were changed. The patient progressed adequately and was released after 24 days of treatment.  CONCLUSIONS: The use of vacuum-assisted closure devices is an effective, useful, and reproducible method that guarantees good functional and cosmetic results and reduces hospital stay and complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[gangrena de Fournier]]></kwd>
<kwd lng="es"><![CDATA[sistema de cierre asistido por vacío]]></kwd>
<kwd lng="en"><![CDATA[Fournier&#8217;s gangrene]]></kwd>
<kwd lng="en"><![CDATA[Vacuum-assisted closure device]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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