Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Necrotizing fasciitis after cesarean delivery

A R Goepfert1, D A Guinn, W W Andrews

  • 1Department of Obstetrics and Gynecology, University of Alabama at Birmingham, USA.

Obstetrics and Gynecology
|March 1, 1997
PubMed
Summary

Necrotizing fasciitis after cesarean delivery is rare but serious. Prompt diagnosis and surgical debridement are crucial for managing this infection, which can lead to significant morbidity and mortality.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The course of hepatitis C viraemia in transfusion recipients prior to availability of antiviral therapy.

Journal of viral hepatitis·2008
Same author

Intrapartum chlorhexidine vaginal irrigation and chorioamnion and placental microbial colonization.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics·2003
Same author

Elevated amniotic fluid ferritin levels are associated with inflammation-related pregnancy loss following mid-trimester amniocentesis.

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·2002
Same author

Infection and preterm birth.

American journal of perinatology·2002
Same author

Current evidence regarding periodontal disease as a risk factor in preterm birth.

Annals of periodontology·2002
Same author

Evaluation of a new testing policy for human immunodeficiency virus to improve screening rates.

Obstetrics and gynecology·2002

Area of Science:

  • Obstetrics and Gynecology
  • Infectious Diseases
  • Surgical Pathology

Background:

  • Necrotizing fasciitis is a severe soft tissue infection.
  • Post-cesarean delivery wound infections can have serious complications.

Purpose of the Study:

  • To review the experience with diagnosing and managing necrotizing fasciitis following cesarean delivery.
  • To assess the incidence, clinical features, and outcomes of this rare complication.

Main Methods:

  • Retrospective review of medical records for women with severe post-cesarean wound infections.
  • Inclusion criteria required intraoperative identification of necrotic fascia in febrile patients undergoing wound debridement.

Main Results:

  • Nine cases of necrotizing fasciitis occurred among 5048 cesarean deliveries (1.8 per 1000).

Related Experiment Videos

  • Mean time from cesarean to diagnosis/reoperation was 10 days; all patients received surgical debridement and broad-spectrum antibiotics.
  • Polymicrobial infections were common; two mortalities occurred, one from sepsis.

    • Conclusions:

    • Necrotizing fasciitis is an infrequent but significant complication after cesarean delivery.
    • Early diagnosis and aggressive surgical management are essential.
    • The condition is associated with considerable morbidity and mortality.