Successful treatment of perineal necrotising fasciitis and associated pubic bone osteomyelitis with the vacuum assisted closure system.
Kumar S, O'Donnell ME, Khan K, Dunne G, Carey PD, Lee J.
Department of General Surgery, Belfast City Hospital, Lisburn Road, Belfast BT9 7AB, Northern Ireland, UK. susimkumar@btinternet.com
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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PMID: 18577204 [PubMed - indexed for MEDLINE]PMCID: PMC2442594