Necrotizing perineal fasciitis, a challenge in treatment!

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.