Piper J M, West P
University of Texas Health Science Center, San Antonio Department of Obstetrics and Gynecology 78284-7836, USA.
Arch Gynecol Obstet. 1995;256(1):35-8. doi: 10.1007/BF00634347.
Necrotizing fasciitis is a rare, but devastating subcutaneous bacterial infection which occurs following breaks in skin integrity, either natural, post traumatic or post surgical. Although it has been described following many surgical procedures, necrotizing fasciitis has not been previously described following postpartum tubal ligation. Necrotizing fasciitis was diagnosed four days after an uncomplicated postpartum tubal ligation via an infraumbilical incision. Rapid surgical debridement with broad spectrum antibiotic coverage provided successful therapy. Postpartum tubal ligation is one of the most common surgical procedures in obstetrics and gynecology, thus reports of complications resulting from this procedure are quite relevant to clinical practice. We present here the first reported case of necrotizing fasciitis following postpartum tubal ligation through an infraumbilical incision.
坏死性筋膜炎是一种罕见但极具破坏性的皮下细菌感染，它发生在皮肤完整性遭到破坏之后，这种破坏可以是自然的、创伤后或手术后的。虽然在许多外科手术后都有过关于坏死性筋膜炎的描述，但此前产后输卵管结扎术后尚未有过相关报道。一名产妇通过脐下切口进行了简单的产后输卵管结扎术后四天，被诊断出患有坏死性筋膜炎。通过广泛使用抗生素并迅速进行手术清创，治疗取得了成功。产后输卵管结扎是妇产科最常见的外科手术之一，因此关于该手术引发并发症的报告与临床实践密切相关。我们在此呈现首例经脐下切口进行产后输卵管结扎术后发生坏死性筋膜炎的报告病例。
