scholarly journals Successful Treatment of Necrotizing Fasciitis after Rectal Surgery with the Application of a Negative-pressure Wound Therapy: A Case Study

2015 ◽  
Vol 82 (6) ◽  
pp. 290-294 ◽  
Author(s):  
Yoshiaki Mizuguchi ◽  
Satoshi Matsumoto ◽  
Hayato Kan ◽  
Michihiro Koizumi ◽  
Shou Kuriyama ◽  
...  
Medicine ◽  
2019 ◽  
Vol 98 (2) ◽  
pp. e13283 ◽  
Author(s):  
Fabiana Martins de Paula ◽  
Edivania Anacleto Pinheiro ◽  
Vanessa Marcon de Oliveira ◽  
Cristiane Munaretto Ferreira ◽  
Maria Tereza Ferreira Duenhas Monreal ◽  
...  

2020 ◽  
Author(s):  
Pete Allen ◽  
Jackson Pugh ◽  
Alexander Blau

ABSTRACT The incidence of compartment syndrome of the lumbar paraspinal muscles is exceedingly rare. Approximately 24 hours following a high-intensity kettlebell swing workout, a 33-year-old Sailor presented to the medical department on board a forward deployed Wasp-class amphibious assault ship with increasing discomfort in his middle and lower back, and evidence of rhabdomyolysis. Discomfort quickly turned to unrelenting pain coupled with dorsal paresthesias and rigidity in the paraspinal muscles. He was taken emergently to the operating room, where his paraspinal muscles were released via fasciotomy. As a result of limited resources aboard the deployed ship, a negative pressure wound dressing was fashioned using the supplies available aboard the ship. Following 3 days of the negative pressure wound therapy, muscle bulging decreased substantially, and the skin was closed. After 4 weeks of physical therapy, he returned to full duty.


The Foot ◽  
2009 ◽  
Vol 19 (3) ◽  
pp. 177-180 ◽  
Author(s):  
T.J. Bonner ◽  
A. Mountain ◽  
K. Allison ◽  
I. Sargent ◽  
S. Adedapo

2021 ◽  
Vol 30 (Sup4) ◽  
pp. S38-S40
Author(s):  
Zheng Biyao ◽  
Xu Gang ◽  
Jiang Hai ◽  
Duan Chenwang ◽  
Liu Xuan

Objective: Hard-to-heal wounds are a surgical challenge, and diabetic foot ulcers (DFUs) are one of the most common and severe varieties. Previous studies have shown that autologous fat grafting (AFG) and negative pressure wound therapy (NPWT) have the potential to promote wound healing. This case study describes how these two methods together helped in the healing of a serious DFU. Case history: A 65-year-old female patient had a severe DFU on her right foot, with a 30-year history of disease and renal failure. By the time symptoms were evident, regular dressing changes and antibiotic treatment were inadequate. She received surgical debridement, AFG and NPWT. Finally, as the granulation tissue covered the full wound bed, the wound was closed by split-thickness skin grafting. One month later, the DFU was fully healed with no recurrences. Conclusion: The application of AFG or components of adipose tissue to treat hard-to-heal wounds has been researched at both the molecular level and in clinic. In this case, we have proved the curative effect of jointly using AFG and NPWT.


2015 ◽  
Vol 51 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Patrick Maguire ◽  
Joseph M. Azagrar ◽  
Allan Carb ◽  
Arnold Lesser

A 5 mo old female Akita and a 1 yr, 5 mo old male German shorthaired pointer were both evaluated for soft-tissue lesions characterized by rapidly expanding edema, erythema, and pain. Ultrasound was utilized to locate and sample fluid accumulations, and β-hemolytic Streptococcus was isolated from the wounds. Development of systemic symptoms including fever, tachycardia, and tachypnea as well as a lack of response to medical management prompted surgical intervention in both cases. During surgical exploration and debridement, disruption of intermuscular tissue planes was appreciated and necrotizing fasciitis (NF) was suspected. Negative-pressure wound therapy systems utilizing 120 mm Hg of continual negative pressure were applied to wounds for 5 and 4 days for the Akita and German shorthaired pointer, respectively. Resolution of infection was achieved and although the lesions were associated with limbs, amputation was avoided. In both cases, the results of histopathology were consistent with NF. NF is recognized as a rapidly progressive infection associated with high rates of morbidity and mortality. Timely use of negative-pressure wound therapy appears to be a viable management tool to accompany surgical debridement, appropriate antibiotics, and analgesics.


2018 ◽  
Vol 46 (6) ◽  
pp. 2495-2499
Author(s):  
Dariusz Bazaliński ◽  
Paweł Więch ◽  
Beata Barańska ◽  
Monika Binkowska-Bury

We present a case of a 69-year-old woman with rheumatoid arthritis. The patient’s condition was managed with steroid therapy for more than 12 years. She had a coexisting infected chronic ulceration in the left leg, which was treated with negative pressure wound therapy for 52 days. Use of this therapy within the wound reduced exudate and the bacterial count, which dramatically accelerated the process of wound healing.


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