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How to Reconstruct an Open Abdominal Wall After Necrotizing Fasciitis?: Surgical Management in Difficult Cases
Received: 18 May 2020 | Received in revised form: 30 Sep 2020
Accepted: 13 Oct 2020 | Available online: 12 Nov 2020
J Clin Obstet Gynecol. 2020;30(3):113-7
DOI: 10.5336/jcog.2020-76430
Article Language: EN
Article Language: EN
Copyright Ⓒ 2024 by Türkiye Klinikleri. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Necrotizing fasciitis (NF) is a very fatal infection which is also known as flesh eating disease. Due to the rapid progression, early diagnosis, the use of broad spectrum antibiotics and aggressive surgical treatment are very essential to reduce morbidity and mortality. In some conditions, abdominal wall integrity cannot be maintained. Negative pressure wound therapy (NPWT) can be used for the management of acute and chronic wounds. Studies showed that negative pressure wound therapy combined with a split thickness skin graft (STSG) can help to heal wounds at NF. In this case, the patient suffered from type 1 NF caused by Pseudomonas aeruginosa, Klebsiella pneumoniae. We would like to demonstrate how to reconstruct an open abdominal wall after an endometrial carsinoma surgery with NPWT and STSG.
Necrotizing fasciitis (NF) is a very fatal infection which is also known as flesh eating disease. Due to the rapid progression, early diagnosis, the use of broad spectrum antibiotics and aggressive surgical treatment are very essential to reduce morbidity and mortality. In some conditions, abdominal wall integrity cannot be maintained. Negative pressure wound therapy (NPWT) can be used for the management of acute and chronic wounds. Studies showed that negative pressure wound therapy combined with a split thickness skin graft (STSG) can help to heal wounds at NF. In this case, the patient suffered from type 1 NF caused by Pseudomonas aeruginosa, Klebsiella pneumoniae. We would like to demonstrate how to reconstruct an open abdominal wall after an endometrial carsinoma surgery with NPWT and STSG.
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