General Surgery Service, Hospital Civil de Tepic "Dr. Antonio González Guevara", Tepic, Nayarit. México.
Servicio Advanced Laparoscopic Surgery Service, Centro Médico ABC, Mexico City. México.
Cir Cir. 2020;88(Suppl 1):24-27. doi: 10.24875/CIRU.20001293.
Necrotizing fasciitis is an acute progressive infection that develops severe systemic toxicity. If this is not treated in a timely manner, it leads to a fatal outcome. The treatment with fluids, antibiotics, and debridement is the basis for management; however, negative pressure systems are positioned at a strategic point for treatment, especially in large areas, such as lower limbs. This is the case of a 17-year-old male with no relevant medical history, who developed extensive necrotizing fasciitis in the inguinogenital region after fasciotomies due to compartment syndrome, in whom a handmade negative pressure system was successfully applied.
坏死性筋膜炎是一种急性进行性感染,会导致严重的全身中毒。如果不及时治疗,会导致致命的后果。液体、抗生素和清创术的治疗是管理的基础;然而,负压系统被定位在治疗的战略点,特别是在大面积,如下肢。这是一个 17 岁的男性,没有相关的病史,在因间隔综合征而行筋膜切开术后,会阴部发生广泛的坏死性筋膜炎,成功应用了手工制作的负压系统。