title: Necrotizing fasciitis following laparoscopic surgery. Case report and review of the literature.
abstract: Necrotizing fasciitis is a rare and potentially fatal infection characterized by rapid and progressive involvement of the fascia and subcutaneous tissues. Early diagnosis, aggressive initial debridement followed by planned redebridements in conjunction with nutritional support and antibiotics remain the mainstay of therapy. We present a case of necrotizing fasciitis of the abdominal wall following a laparoscopically assisted vaginal hysterectomy. Literature is reviewed and discussed with reference to this catastrophic infection in the age of laparoscopic surgery.
authors.affiliation: Department of Surgery, University of Southern California, 1510 San Pablo Street, Suite 514, Los Angeles, CA 90033, USA.
authors.forename: S
authors.initials: S
authors.lastname: Golshani
authors.forename: A J
authors.initials: AJ
authors.lastname: Simons
authors.forename: R
authors.initials: R
authors.lastname: Der
authors.forename: A E
authors.initials: AE
authors.lastname: Ortega
mesh_terms: D000009:Abdominal Muscles / Q000601:surgery*; D019115:Fasciitis, Necrotizing / Q000601:surgery*; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000295:instrumentation*; D020706:Laparoscopes; D007889:Leiomyoma / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D013530:Surgical Wound Infection / Q000601:surgery; D014594:Uterine Neoplasms / Q000601:surgery*