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Extensive necrotizing fasciitis of scrotum and abdominal wall: Report of two cases and a review of the literature

The incidence rate of necrotizing fasciitis(NF) is low, but it has a high mortality rate. At present, it lacks experience in clinical treatment in municipal and county-level hospitals, insufficient awareness of disease risk, lack of experience in disease surgical intervention, and lack of a set of m...

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Autores principales: Meng, Zhe, Wang, Yanchen, Chao, Jun, Ji, Yongjian, Sun, Yaofei, Zhu, Jiang, Gao, Tongbin, Chen, Si, Wang, Shenyang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9343677/
https://www.ncbi.nlm.nih.gov/pubmed/35928030
http://dx.doi.org/10.3389/fsurg.2022.952042
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author Meng, Zhe
Wang, Yanchen
Chao, Jun
Ji, Yongjian
Sun, Yaofei
Zhu, Jiang
Gao, Tongbin
Chen, Si
Wang, Shenyang
author_facet Meng, Zhe
Wang, Yanchen
Chao, Jun
Ji, Yongjian
Sun, Yaofei
Zhu, Jiang
Gao, Tongbin
Chen, Si
Wang, Shenyang
author_sort Meng, Zhe
collection PubMed
description The incidence rate of necrotizing fasciitis(NF) is low, but it has a high mortality rate. At present, it lacks experience in clinical treatment in municipal and county-level hospitals, insufficient awareness of disease risk, lack of experience in disease surgical intervention, and lack of a set of mature treatment norms and standards. Most patients have no time to transfer to a higher hospital for treatment. In January and April 2022, two cases of large-scale necrotizing fasciitis of the scrotum and abdominal wall were treated in the Department of Urology of Weifang people's Hospital respectively and were clinically cured after active surgical debridement combined with broad-spectrum antibiotics. Through the retrospective analysis of the diagnosis and treatment of two cases of necrotizing fasciitis, this paper analyzes and summarizes the scope of surgical debridement of NF, postoperative dressing changing skills, timing of multiple debridements, application and timing of vacuum sealing drainage(VSD), and the combined use of antibiotics. To provide experience for clinical diagnosis and treatment of necrotizing fasciitis.
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spelling pubmed-93436772022-08-03 Extensive necrotizing fasciitis of scrotum and abdominal wall: Report of two cases and a review of the literature Meng, Zhe Wang, Yanchen Chao, Jun Ji, Yongjian Sun, Yaofei Zhu, Jiang Gao, Tongbin Chen, Si Wang, Shenyang Front Surg Surgery The incidence rate of necrotizing fasciitis(NF) is low, but it has a high mortality rate. At present, it lacks experience in clinical treatment in municipal and county-level hospitals, insufficient awareness of disease risk, lack of experience in disease surgical intervention, and lack of a set of mature treatment norms and standards. Most patients have no time to transfer to a higher hospital for treatment. In January and April 2022, two cases of large-scale necrotizing fasciitis of the scrotum and abdominal wall were treated in the Department of Urology of Weifang people's Hospital respectively and were clinically cured after active surgical debridement combined with broad-spectrum antibiotics. Through the retrospective analysis of the diagnosis and treatment of two cases of necrotizing fasciitis, this paper analyzes and summarizes the scope of surgical debridement of NF, postoperative dressing changing skills, timing of multiple debridements, application and timing of vacuum sealing drainage(VSD), and the combined use of antibiotics. To provide experience for clinical diagnosis and treatment of necrotizing fasciitis. Frontiers Media S.A. 2022-07-19 /pmc/articles/PMC9343677/ /pubmed/35928030 http://dx.doi.org/10.3389/fsurg.2022.952042 Text en © 2022 Meng, Wang, Chao, Ji, Sun, Zhu, Gao, Chen and Wang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Meng, Zhe
Wang, Yanchen
Chao, Jun
Ji, Yongjian
Sun, Yaofei
Zhu, Jiang
Gao, Tongbin
Chen, Si
Wang, Shenyang
Extensive necrotizing fasciitis of scrotum and abdominal wall: Report of two cases and a review of the literature
title Extensive necrotizing fasciitis of scrotum and abdominal wall: Report of two cases and a review of the literature
title_full Extensive necrotizing fasciitis of scrotum and abdominal wall: Report of two cases and a review of the literature
title_fullStr Extensive necrotizing fasciitis of scrotum and abdominal wall: Report of two cases and a review of the literature
title_full_unstemmed Extensive necrotizing fasciitis of scrotum and abdominal wall: Report of two cases and a review of the literature
title_short Extensive necrotizing fasciitis of scrotum and abdominal wall: Report of two cases and a review of the literature
title_sort extensive necrotizing fasciitis of scrotum and abdominal wall: report of two cases and a review of the literature
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9343677/
https://www.ncbi.nlm.nih.gov/pubmed/35928030
http://dx.doi.org/10.3389/fsurg.2022.952042
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