Terapia de pressão negativa no manejo da Síndrome de Fournier em um hospital privado da região norte do Brasil no período de 2020-2024

The objective of this study was to evaluate the efficacy of Negative Pressure Therapy (NPT) in the management of Fournier’s syndrome, identifying the epidemiological profile, complications, and clinical outcomes in patients treated at a private referral hospital in northern Brazil between 2020 and 2024. This is an observational, retrospective, and descriptive study conducted through the analysis of medical records from 30 patients. Male patients predominated (53.3%), as did those in the 60–90 age group (70.0%), with a prevalence of diabetes mellitus (53.3%) and systemic arterial hypertension (46.7%). NPT was used for an average of 24.2 days, showing a positive correlation with length of hospital stay, suggesting a reflection of the severity of the wounds rather than inefficiency of the method. The mortality rate was 16.7%, lower than that reported in the literature. There was no statistically significant difference in outcomes between diabetic and non-diabetic patients, suggesting that the debridement protocol combined with NPT may have helped equalize the prognosis. The need for re-operations and surgical reconstructions was associated with unfavorable outcomes. It is concluded that NPT proved to be a safe and effective adjunctive tool, contributing to wound bed preparation and a reduction in morbidity, regardless of glycemic status.