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J Plast Reconstr Aesthet Surg. 2009 Jun;62(6):e136-9. doi: 10.1016/j.bjps.2008.07.031. Epub 2008 Dec 5.

Abdominoplasty as a reconstructive surgical treatment of necrotising fasciitis of the abdominal wall.

Author information

1
Plastic Surgery Unit, University of Siena, Le Scotte Hospital, Siena, Italy. annabrafa@virgilio.it

Abstract

OBJECTIVES:

Necrotising fasciitis (NF) is a potentially fatal, uncommon infection of the soft tissue with rapid progression. This article presents one case of NF of the abdomen wall, describing the presentation, diagnosis and long-term successful treatment.

METHODS:

The defect of the abdominal wall was treated with medical support (antibiotics broad-spectrum coverage), V.A.C. therapy and plastic surgery procedures.

RESULTS:

The coverage of the abdominal wall defect has been achieved by abdominoplasty-type advancement flaps in one step with the preservation of the umbilicus. One month after the surgical procedure, the patient returned to a normal lifestyle with a good quality of life.

CONCLUSION:

The success of this case should be attributed to an early diagnosis, aggressive debridement and a good intensive medical management; these elements are essential to a better prognosis for NF.

PMID:
19058770
DOI:
10.1016/j.bjps.2008.07.031
[Indexed for MEDLINE]

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