Hypochlorous Acid And Secondary Intention Healing Of Fournier’s Gangrene: Results Of A Prospective Clinical Assessment

By Anne-Marie Trudel ISPSCC and Jessica Larose RN BScN NSWOC(c)

DOI: 10.56885/591403ioecoj

The optimal management of Fournier’s gangrene requires a multidisciplinary approach integrating pharmacological and surgical interventions. The standard post-debridement treatment typically involves negative pressure therapy, sometimes combined with instillation procedure, to prepare for surgical reconstruction or tertiary closure. However, this approach may be challenged in certain contexts, particularly in patients with physiological or logistical constraints. To explore an innovative alternative, we assessed the use of hypochlorous acid. Our analysis of multiple clinical cases demonstrated the feasibility of second-intention healing following extensive surgical debridement of the genital and perineal region. Moreover, the results suggest a positive impact in terms of cost savings, time savings for nursing staff, simplification of material procurement, and improved accessibility, particularly in outpatient settings.