Sammoni Ayham, Mohamad Okbah, Abdalah Ali, Alghazali Monaf Borhan, Al-Aissami Maen
Department of Plastic and Reconstructive Surgery, Al Mouwasat University Hospital, Faculty of Medicine, Damascus University, Damascus, Syria.
Ann Med Surg (Lond). 2022 Mar 3;75:103432. doi: 10.1016/j.amsu.2022.103432. eCollection 2022 Mar.
Necrotizing fasciitis [NF] is a deep soft tissue infection with high morbidity and mortality. The diagnosis is mainly clinical, and is confirmed during the surgical exploration, which is also the cornerstone of treatment.
We report a case of a 16-year-old female who complained of pain, tenderness, and erythema along her abdomen and back after a minor trauma on her left palm. The patient was treated with systemic antibiotics and daily surgical debridement followed by placement of a bilateral suction drainage system. A split-thickness graft was used to cover the defect on the lower back of the patient.
Sealed irrigation technique is an effective method to manage NF. Furthermore, it reduces the hospitalization duration by continuously removing the necrotic and infected material that hinder tissue healing.
坏死性筋膜炎[NF]是一种深部软组织感染，发病率和死亡率都很高。诊断主要依靠临床症状，并在手术探查时得到证实，手术探查也是治疗的基石。
我们报告一例16岁女性患者，她在左手掌轻微创伤后，腹部和背部出现疼痛、压痛及红斑。患者接受了全身抗生素治疗及每日手术清创，随后放置了双侧吸引引流系统。采用中厚皮片移植覆盖患者下背部的缺损。
封闭式冲洗技术是治疗坏死性筋膜炎的有效方法。此外，它通过持续清除阻碍组织愈合的坏死和感染物质，缩短了住院时间。
