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.

Brafa, A., Grimaldi, L., Brandi, C., Nisi, G., Calabro', M., Campa, A., et al. (2009). Abdominoplasty as a reconstructive surgical treatment of necrotising fasciitis of the abdominal wall. JOURNAL OF PLASTIC, RECONSTRUCTIVE & AESTHETIC SURGERY, 62(6), e136-e139 [10.1016/j.bjps.2008.07.031].

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

BRAFA, ANNA;GRIMALDI, LUCA;BRANDI, CESARE;NISI, GIUSEPPE;CALABRO', MASSIMILIANO;CAMPA, ALESSANDRA;D'ANIELLO, CARLO
2009-01-01

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.
Brafa, A., Grimaldi, L., Brandi, C., Nisi, G., Calabro', M., Campa, A., et al. (2009). Abdominoplasty as a reconstructive surgical treatment of necrotising fasciitis of the abdominal wall. JOURNAL OF PLASTIC, RECONSTRUCTIVE & AESTHETIC SURGERY, 62(6), e136-e139 [10.1016/j.bjps.2008.07.031].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11365/25556
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