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Necrotizing fasciitis

Jagdish Sadasivan1, Nanda Kishore Maroju1, Anandh Balasubramaniam1

  • 1Department of Surgery, JIPMER, Pondicherry, India.

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
|January 25, 2014
PubMed

Insights

Necrotizing fasciitis (NF) is a severe surgical infection requiring complex management. This review offers an Indian perspective on diagnosing and treating NF, drawing from extensive clinical experience and literature.

Area of Science:

  • Surgery
  • Infectious Diseases

Background:

  • Necrotizing fasciitis (NF) presents significant diagnostic and management challenges in surgical practice.
  • The condition can lead to prolonged hospitalization, extensive recovery periods, and severe patient outcomes, including limb loss or mortality.

Purpose of the Study:

  • To review existing literature on necrotizing fasciitis from 1970 onwards.
  • To provide an Indian perspective on the management of necrotizing fasciitis, integrating clinical experience with published data.

Main Methods:

  • Comprehensive literature review using MEDLINE keywords: "necrotizing," "fasciitis," and "necrotizing infections."
  • Analysis of cross-referenced articles and comparison with authors' clinical experience in India.

Main Results:

  • Necrotizing fasciitis is a common yet challenging surgical infection in the Indian context.
  • The review synthesizes current knowledge and highlights the need for experienced clinical insights.

Conclusions:

  • Effective management of necrotizing fasciitis requires addressing diagnostic difficulties and optimizing early and late treatment strategies.
  • An Indian perspective is crucial for understanding and managing this condition effectively within the region.
Keywords:
Fasciitisnecrotizing necrotising infectionssynergistic infections

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