Introduction: Fournier’s gangrene is a rare, rapidly progressive necrotizing soft tissue infection affecting the genital, perineal, and perianal regions. Due to its rapid progression and the risk of sepsis, multiple organ failure, and high mortality, it requires immediate surgical, antibiotic, and supportive treatment. Postoperative nursing care plays an important role in patient monitoring, early recognition of complications, and management of extensive wounds. Purpose: The purpose of this diploma work was to review professional and scientific literature on postoperative nursing care of patients with Fournier's gangrene and to define wound care approaches, with an emphasis on modern methods and the role of nursing care. Methods: A descriptive research method was used, based on a review of professional and scientific literature. Literature was searched in the COBISS, and Medline databases, using PubMed and Google Scholar, as well as by reviewing references from already identified sources. The review primarily included sources published between 2016 and 2026, while other sources were included exceptionally when they were relevant to the topic. A total of 12 articles were included in the final analysis. Results: The literature review showed that postoperative nursing care of a patient with Fournier's gangrene is mainly focused on continuous monitoring of vital signs, pain, urine output, laboratory results, blood glucose levels, signs of sepsis, and response to treatment. Important aspects also include the administration of antibiotic therapy, management of fluid and electrolyte balance, control of comorbidities, prevention of wound contamination, and psychological support. In wound care, early and extensive surgical debridement is the key intervention. After debridement, wounds are often left open and require regular assessment and dressing changes. Negative pressure wound therapy is used as a modern wound care approach and may reduce the frequency of dressing changes, pain, and exudate, while promoting the formation of granulation tissue. Discussion and conclusion: Postoperative care of a patient with Fournier's gangrene is complex, long-term, and multidisciplinary. Nursing care has an important role in the early recognition of clinical deterioration, prevention of complications, wound management, and patient support during treatment. The findings show that negative pressure wound therapy can be a useful addition to wound care, but it is not suitable for all patients and does not replace surgical debridement. Due to the limited number of studies directly addressing nursing care of patients with Fournier's gangrene, further research is needed, especially regarding the role of nurses in postoperative care.
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