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Int J Low Extrem Wounds. 2015 Dec;14(4):328-34. doi: 10.1177/1534734615606522. Epub 2015 Nov 23.

Management of Necrotizing Fasciitis and Its Surgical Aspects.

Author information

1
Shanghai 9th People's Hospital, Shanghai Jiao Tong University, Shanghai, China.
2
Shanghai 9th People's Hospital, Shanghai Jiao Tong University, Shanghai, China doctortingxie@139.com.

Abstract

Necrotizing fasciitis (NF) is a severe and rapidly progressive infectious disease that attacks superficial an as well as deep fascia, subcutaneous fat tissue, and muscle. Although the incidence is of relatively low frequency, the median mortality is high. NF is a great burden to patients and hospitals. The most common cause of NF is trauma injuries, followed by other conditions with comorbidity. A classification for NF was presented concerning microbial cause, depth of infection, and anatomy. But the value of classification is not convincing. Early diagnosis of NF is essential and still to be realized by far. Information from clinic or laboratory might contribute to the purpose. Surgery is used in exploration debridement and tissue reconstruction as the main method with NF. Negative pressure wound therapy has proved to be useful in improving wound bed preparation and healing.

KEYWORDS:

debridement; diagnosis; necrotizing fasciitis; negative pressure wound therapy; surgery

PMID:
26597210
DOI:
10.1177/1534734615606522
[Indexed for MEDLINE]

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