Shahaji Chavana, Omkar Mahendra Shirkeb, Balaji Dhaigudec, (Col) S.V. Panchbhaid, Gaurav Batrae
Journal Title: New Indian Journal of Surgery - Year 2018, Vol 9, Issue 2
Abstract
Introduction: Necrotizing fasciitis represents a group of highly lethal infections characterized by rapidly progressing inflammation & necrosis. Early recognition & aggressive surgical treatment in combination with antibiotic therapy can prevent fatal consequences. Aims and Objectives: The aim of the study was to assess the clinical profile, analyse the microbial flora & the outcome of aggressive surgical management in combination with intravenous Penicillin therapy. Material and Methods: A prospective study was carried out in our hospital between April 2016 to December 2017. Predisposing factors, clinical presentations, microbial flora and management amongst thirty consecutive patients who had presented to this hospital during this period were studied. Results: Age above 45 years, trauma & diabetes mellitus were the commonest predisposing factors. All wounds had polymicrobial growth. Repeated aggressive debridement was carried out in most patients with average of 3.5 debridements per patient. Majority of the wounds healed by secondary intention. However, 30% of the patients needed skin grafting. Conclusion: Early & aggressive surgical debridement, often in multiple sittings, supplemented by appropriate antibiotics & supportive therapy forms the key to successful outcome. Low threshold & early referral by family physicians can prevent the potent complications of necrotizing fasciitis.
Authors and Affiliations
Shahaji Chavan
Keywords
Related Articles
- EP ID EP545200
- DOI 10.21088/nijs.0976.4747.9218.4
- Views 60
- Downloads 0
Comparison of Onlay Versus Sublay Mesh Placement in Incisional Hernia Repair: A Prospective Study
Background: Incisional hernia is a common surgical condition with a reported incidence of 2-11% of patients subjected to abdominal operations. Aim: This is a prospective study to compare the differences in the post-opera...
Blunt Trauma Abdomen in Surgical Emergency: A Retrospective Study
Background: Abdominal trauma from Blunt injury is found in most of the patients with polytrauma. For diagnosing Blunt abdominal trauma, we have to keep high index of suspicion and through physical examination and invest...
A Study on Treatment Modalities of Acute Intestinal Obstruction
Introduction: Postoperative adhesions are the most common cause of mechanical SBO, which cause extrinsic compression of the intestine. Malignant tumors or strictures of the small bowel can cause intrinsic blockage and ar...
Correlation Between BIRADS Scoring and Histology in Women Undergoing Breast Surgery in our Institution
Developed in the early 1990s, the BIRADS classification has been used extensively as a surrogate to histopathological reporting of breast cancer. Prior to implementation of BIRADS there was a lack of uniformity in report...
Role of Cadaveric Allograft Transplantation in a Tertiary Burns Centre
Non healing wounds are a major functional and financial burden to the patient and treating surgeon alike. Many methods of adjuvant wound therapy and wound bed preparation exist like Autologous Platelet Rich Plasma inject...