Successful treatment of perineal necrotising fasciitis and associated pubic bone osteomyelitis with the vacuum assisted closure system

Autor: Mark E. O'Donnell, Khalid Khan, P. Declan Carey, Gillian Dunne, Jack Lee, Susim Kumar
Jazyk: angličtina
Rok vydání: 2008
Předmět:
Zdroj: World Journal of Surgical Oncology, Vol 6, Iss 1, p 67 (2008)
World Journal of Surgical Oncology
ISSN: 1477-7819
Popis: Background Acute necrotising fasciitis is a life-threatening condition, which requires urgent surgical intervention. Surgical debridement is invariably associated with large areas of tissue loss. Case presentation We present a 58-year old woman with a past history of cervical carcinoma who presented with necrotising fasciitis of the perineum and upper thighs with associated pubic bone osteomyelitis. Following extensive debridement, a Vacuum Assisted Closure (VAC) system was applied to the large residual defect to facilitate skin graft application and optimise wound healing. Conclusion This case demonstrates the successful management of a complex and potentially lethal wound of the perineum with debridement, skin grafting and the VAC system.
Databáze: OpenAIRE