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 |
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Jazyk: | angličtina |
Rok vydání: | 2008 |
Předmět: |
medicine.medical_specialty
Vacuum lcsh:Surgery Necrotising fasciitis Case Report Perineum lcsh:RC254-282 FASCIITIS NECROTIZING medicine Humans Fasciitis Necrotizing Fasciitis Pubic Bone Wound Healing Acute necrotising Vacuum assisted closure business.industry Osteomyelitis Surgical debridement lcsh:RD1-811 Middle Aged medicine.disease lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Surgery body regions medicine.anatomical_structure Oncology Female business |
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 |
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