Glove Vacuum-Assisted Wound Closure for the Scrotum

Copyright 2014 The Korean Society of Plastic and Reconstructive Surgeons This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. San Antonio, TX, USA) for scrotal wounds [2-4]. We would like to suggest the use of a vacuum with a surgical glove for healing a scrotal wound following Fournier’s gangrene. We have found that this method promotes faster healing in a low-cost setting. A 46-year-old type-2 diabetes mellitus patient presented with Fournier’s gangrene and sepsis syndrome. Following debridement (Fig. 1), modified vacuum dressing was performed with a sterile size 71⁄2 surgical glove. The glove was cut as shown in Fig. 2 and stapled circumferentially at the base beyond the edges of the wound with the other end cut open below the fingers. The interior of the glove was packed with sterile foam or gauze with a suction catheter or Ryle’s tubing (Fig. 3). The free end of the glove was plicated and sealed with opsite or with the latex ring of the glove, and a vacuum was created using a suction machine (Fig. 4). An intermittent suction of 125 mm