Successful treatment of perineal necrotising fasciitis and associated pubic bone osteomyelitis with the vacuum assisted closure system

BACKGROUND: Acute necrotising fasciitis is a life-threatening condition, which requires urgent surgical intervention. Surgical debridement is invariably associated with large areas of tissue loss. CASE PRESENTATION: We present a 58-year old woman with a past history of cervical carcinoma who present...

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Autores principales: Kumar, Susim, O'Donnell, Mark E, Khan, Khalid, Dunne, Gillian, Carey, P Declan, Lee, Jack
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2442594/
https://www.ncbi.nlm.nih.gov/pubmed/18577204
http://dx.doi.org/10.1186/1477-7819-6-67
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author Kumar, Susim
O'Donnell, Mark E
Khan, Khalid
Dunne, Gillian
Carey, P Declan
Lee, Jack
author_facet Kumar, Susim
O'Donnell, Mark E
Khan, Khalid
Dunne, Gillian
Carey, P Declan
Lee, Jack
author_sort Kumar, Susim
collection PubMed
description BACKGROUND: Acute necrotising fasciitis is a life-threatening condition, which requires urgent surgical intervention. Surgical debridement is invariably associated with large areas of tissue loss. CASE PRESENTATION: We present a 58-year old woman with a past history of cervical carcinoma who presented with necrotising fasciitis of the perineum and upper thighs with associated pubic bone osteomyelitis. Following extensive debridement, a Vacuum Assisted Closure (VAC) system was applied to the large residual defect to facilitate skin graft application and optimise wound healing. CONCLUSION: This case demonstrates the successful management of a complex and potentially lethal wound of the perineum with debridement, skin grafting and the VAC system.
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spelling pubmed-24425942008-07-02 Successful treatment of perineal necrotising fasciitis and associated pubic bone osteomyelitis with the vacuum assisted closure system Kumar, Susim O'Donnell, Mark E Khan, Khalid Dunne, Gillian Carey, P Declan Lee, Jack World J Surg Oncol Case Report BACKGROUND: Acute necrotising fasciitis is a life-threatening condition, which requires urgent surgical intervention. Surgical debridement is invariably associated with large areas of tissue loss. CASE PRESENTATION: We present a 58-year old woman with a past history of cervical carcinoma who presented with necrotising fasciitis of the perineum and upper thighs with associated pubic bone osteomyelitis. Following extensive debridement, a Vacuum Assisted Closure (VAC) system was applied to the large residual defect to facilitate skin graft application and optimise wound healing. CONCLUSION: This case demonstrates the successful management of a complex and potentially lethal wound of the perineum with debridement, skin grafting and the VAC system. BioMed Central 2008-06-24 /pmc/articles/PMC2442594/ /pubmed/18577204 http://dx.doi.org/10.1186/1477-7819-6-67 Text en Copyright © 2008 Kumar et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kumar, Susim
O'Donnell, Mark E
Khan, Khalid
Dunne, Gillian
Carey, P Declan
Lee, Jack
Successful treatment of perineal necrotising fasciitis and associated pubic bone osteomyelitis with the vacuum assisted closure system
title Successful treatment of perineal necrotising fasciitis and associated pubic bone osteomyelitis with the vacuum assisted closure system
title_full Successful treatment of perineal necrotising fasciitis and associated pubic bone osteomyelitis with the vacuum assisted closure system
title_fullStr Successful treatment of perineal necrotising fasciitis and associated pubic bone osteomyelitis with the vacuum assisted closure system
title_full_unstemmed Successful treatment of perineal necrotising fasciitis and associated pubic bone osteomyelitis with the vacuum assisted closure system
title_short Successful treatment of perineal necrotising fasciitis and associated pubic bone osteomyelitis with the vacuum assisted closure system
title_sort successful treatment of perineal necrotising fasciitis and associated pubic bone osteomyelitis with the vacuum assisted closure system
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2442594/
https://www.ncbi.nlm.nih.gov/pubmed/18577204
http://dx.doi.org/10.1186/1477-7819-6-67
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