scholarly journals A rare case of primary necrotising fasciitis of the breast: combined use of hyperbaric oxygen and negative pressure wound therapy to conserve the breast. Review of literature

2016 ◽  
Vol 14 (2) ◽  
pp. 349-354 ◽  
Author(s):  
Francesco Marongiu ◽  
Federico Buggi ◽  
Matteo Mingozzi ◽  
Annalisa Curcio ◽  
Secondo Folli
2019 ◽  
pp. 126-130
Author(s):  
Anna Michelle Waldie ◽  
Fiona S Lau ◽  
Jenny L Hepschke ◽  
Ian C Francis ◽  
Geoffrey Wilcsek

Necrotising fasciitis is a fulminant, rapidly progressive infection associated with extensive tissue destruction and significant mortality. Given the robust blood supply of the face, periorbital necrotising fasciitis is rare in this region. Traditional management consists of prompt initiation of antibiotics and adequate surgical debridement. This report documents the outcome of Type 2 periorbital necrotising fasciitis in a 49-year-old, immunocompetent man, in whom negative pressure wound therapy, was combined with conventional measures. The negative pressure wound therapy was applied directly to the involved orbit, suggesting its safety and efficacy in relation to use over the orbit. Negative pressure wound therapy may be a useful adjunct to the armamentarium of the oculoplastic surgeon for the reconstruction of periorbital defects produced by the surgical debridement of periorbital necrotising fasciitis.


2016 ◽  
Vol 14 (4) ◽  
pp. 661-665 ◽  
Author(s):  
Stephen S Cai ◽  
Arvind U Gowda ◽  
Richard H Alexander ◽  
Ronald P Silverman ◽  
Nelson H Goldberg ◽  
...  

2019 ◽  
Vol 28 (11) ◽  
pp. 775-778 ◽  
Author(s):  
Ashish Gupta ◽  
Amit Gupta ◽  
Bina Ravi ◽  
Mukund Mundra ◽  
Harindra Sandhu ◽  
...  

Necrotising fasciitis is a rare infection of the skin and underlying soft tissue. It primarily involves the extremities and rarely the breast. Primary necrotising fasciitis of the breast in a non-lactating, healthy female is rarer still. The authors present the case report of a patient presenting with primary necrotising fasciitis of the breast after sustaining a penetrating injury. The patient was managed successfully with serial debridement and negative pressure wound therapy (NPWT). To our knowledge only 19 such cases have been reported in the indexed literature so far. This is also the eighth case globally of primary necrotising fasciitis of the breast in a non-lactating female without any associated immunosuppression, which is the basis of reporting this case.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Liping Zhang ◽  
Tingting Weng ◽  
Pan Wu ◽  
Qiong Li ◽  
Chunmao Han ◽  
...  

In clinical practice, skin defects occur frequently due to various kinds of acute and chronic diseases. The standard treatment for these wounds is autografting, which usually results in complications such as scar formation and new wounds at donor sites. The advent of dermal substitutes has provided a novel method for wound repair, and rapid angiogenesis of the dermal substitutes is crucial for the graft to take. At present, many strategies have been developed to improve the process of vascularisation, some of which have shown promising potentials, but they could be very far from clinical applications. Most recently, negative-pressure wound therapy (NPWT) has been used extensively in clinical practice for wound care and management. It has been reported that NPWT reduces the time required for vascular ingrowth into the dermal substitute and improves graft take, indicating great potentials for wound repair. This article presents a comprehensive overview of the combined use of NPWT and dermal substitutes for tissue repair and regeneration. Relative concerns and prospects are also discussed.


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