title: [Postoperative necrotizing fasciitis of the anterior abdominal wall].
abstract: Postoperative necrotizing fasciitis of the anterior abdominal wall is a serious and life-endangering complication of an acute progressive synergistic infective process. There is an absolute increase in its incidence rate attributable to a number of situations in modern life. Morphological and clinical studies are carried out on personal case material of 28 patients, followed up over a 3-year period. The presence of aerobic-anaerobic mixed polyinfection, consisting of average 3.75 bacterial species of which 1.43 aerobes and 2.32 anaerobes, is demonstrated microbiologically. Of the latter non-spore-bearing obligate anaerobes predominate among which B fragillis is the most common. As shown by the study, the process is characterized by slow initial course with ensuring rapid spreading by neighbourhood. The process reveals all signs of a mixed aerobic-anaerobic polyinfection, thereby necessitating subordination of both antibiotic therapy and surgical tactics to the latter.
authors.forename: G
authors.initials: G
authors.lastname: Fichev
authors.forename: I
authors.initials: I
authors.lastname: Poromanski
authors.forename: M
authors.initials: M
authors.lastname: Marina
mesh_terms: D000009:Abdominal Muscles; D000328:Adult; D000368:Aged; D001420:Bacteria, Aerobic / Q000302:isolation & purification; D001421:Bacteria, Anaerobic / Q000302:isolation & purification; D019115:Fasciitis, Necrotizing / Q000175:diagnosis* / Q000382:microbiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013530:Surgical Wound Infection / Q000175:diagnosis* / Q000382:microbiology
vernacular_title: Sledoperativen nekrotichen fastsiit na prednata koremna stena.