Abstract
Necrotizing fasciitis (NF) is a rapidly progressing bacterial infection of soft skin tissue layers, combined with high mortality rates. Association with laparoscopic surgery is rare. In this article, we report a case of a 61-year-old patient suffering from severe NF after laparoscopic left hemicolectomy with low anterior resection due to diverticulitis of sigmoid colon. Skin discolorations, combined with critical illness of the patient, led to the diagnosis of NF. Early recognition, intensive care treatment with stabilization of vital parameters, broad-band antibiotics, and aggressive debridement are the cornerstones for successful treatment of NF.
References
May 1, 1992·The Journal of Infectious Diseases·S P Hackett, D L Stevens
Jun 1, 1983·American Journal of Surgery·J A Majeski, J W Alexander
May 1, 1995·Annals of Surgery·C R McHenryM A Malangoni
Oct 8, 1997·Surgical Endoscopy·A VisteS Gjerde
Oct 8, 1997·Surgical Endoscopy·P M HewittA K Li
Dec 31, 1997·Southern Medical Journal·J Majeski, E Majeski
May 26, 1998·Cleveland Clinic Journal of Medicine·T M FileJ R DiPersio
Aug 10, 2000·American Journal of Surgery·D ElliottR A Myers
Apr 25, 2002·Surgical Endoscopy·R P MittermairH Bonatti
Jun 20, 2002·Archives of Dermatology·Antonio Fustes-MoralesRamon Ruiz-Maldonado
Apr 11, 2003·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J E LosanoffJ W Jones
Jul 5, 2005·British Journal of Plastic Surgery·Nai-Chen ChengJann-Tay Wang
Jan 26, 2006·Surgical Infections·Lillian S KaoDavid W Mercer
May 5, 2006·Clinical Orthopaedics and Related Research·Christian M Ogilvie, Theodore Miclau
Jun 30, 2007·Current Opinion in Critical Care·Miguel Cainzos, Francisco J Gonzalez-Rodriguez
Dec 22, 2007·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Lincoln Guan Lim TanKutt Sing Wong
May 22, 2008·Annals of the Royal College of Surgeons of England·Ahmed R AhmedJames Wellwood
Mar 5, 2009·European Journal of Medical Research·Andreas KriegW T Knoefel
Apr 28, 2009·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Carrie E FlanaganRick M Odland