Kosloske A M, Bartow S A
Department of Surgery, University of New Mexico School of Medicine, Albuquerque.
J Pediatr Surg. 1991 Jul;26(7):808-10. doi: 10.1016/0022-3468(91)90144-i.
The operation of a neonate with periumbilical necrotizing fasciitis consisted of (1) excision of infected skin, fat, and fascia (including the umbilicus); (2) a limited laparotomy, with ligation and excision of the umbilical vessels and urachal remnant; and (3) placement of a temporary silastic patch over the central abdominal defect. Pathological sections confirmed the spread of infection along the vessels and urachal remnant. Excision of the vessels and urachal remnant may be crucial to survival from periumbilical necrotizing fasciitis.
