Supportive Debridement Technique In The Treatment Of Necrotizing
Fasciitis: Multiple Fasciotomy
BİLSEV İNCE, ZEYNEP ALTUNTAŞ, MEHMET DADACI, FATMA BİLGEN, TUĞBA SODALI
- Year : 2016
- Vol : 32
- Issue : Ek
- Page :
27-29
Necrotizing fasciitis (NF) is an infectious disease with a possible
fulminant course that it is characterized by necrosis of the skin, soft
tissues, fascia or muscle. Treatment involves extensive debridement
and antibiotherapy. Although, debridement may not always be
possible due to limitations in the administration of general and/or
block anesthesia in some patients based on such reasons as overall
health, bleeding diathesis or medications being used by the patient.
There is limited information or studies exploring possible options
in such patients, although those that are available support the lifesaving
advantages of early fasciotomies performed under local
anesthesia. A 76-year-old male patient was admitted with generalized
edema to the right forearm and arm, erythema, and a lesion with a
bulla and purulent discharge. An NF diagnosis was confirmed with a
positive finger test and emergency surgery was planned; however,
general anesthesia could not be administered due to the impaired
overall health status of the patient, who was using aspirin, preventing
blockage. Accordingly, the abscess was drained through arm and
forearm fasciotomies that were performed under local anesthesia,
and samples were obtained for culture.In conclusion, NF can be
fatal when left untreated, while successful results can be achieved
with early diagnosis, sufficient debridement and treatment with
appropriate antibiotics. That said, drainage of the abscess through
multiple fasciotomies can improve the laboratory findings and support
treatment in NF patients who cannot undergo rapid debridement or
can not tolerate general anesthesia. A fasciotomy may be performed
as a supportive treatment prior to debridement in such patients.
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None of the authors, any product mentioned in this article,
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Supportive Debridement Technique In The Treatment Of Necrotizing
Fasciitis: Multiple Fasciotomy
2016,
Vol.
32
(Ek)
Received : 18.10.2014,
Accepted : 18.10.2014,
Published Online : 13.08.2018
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ISSN:1017-6616;
E-ISSN:2149-8059;