Successful treatment of perineal necrotising fasciitis and associated pubic bone osteomyelitis with the vacuum assisted closure system.
BACKGROUND
Acute necrotising fasciitis is a life-threatening condition, which requires urgent surgical intervention. Surgical debridement is invariably associated with large areas of tissue loss.


METHODS
We present a 58-year old woman with a past history of cervical carcinoma who presented with necrotising fasciitis of the perineum and upper thighs with associated pubic bone osteomyelitis. Following extensive debridement, a Vacuum Assisted Closure (VAC) system was applied to the large residual defect to facilitate skin graft application and optimise wound healing.


CONCLUSIONS
This case demonstrates the successful management of a complex and potentially lethal wound of the perineum with debridement, skin grafting and the VAC system.
Kumar
Susim
S
Department of General Surgery, Belfast City Hospital, Lisburn Road, Belfast BT9 7AB, Northern Ireland, UK. susimkumar@btinternet.com
O'Donnell
Mark E
ME
Khan
Khalid
K
Dunne
Gillian
G
Carey
P Declan
PD
Lee
Jack
J
D019115:Fasciitis, Necrotizing / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010019:Osteomyelitis / Q000209:etiology / Q000601:surgery*; D010502:Perineum / Q000293:injuries / Q000601:surgery*; D011630:Pubic Bone / Q000473:pathology*; D014618:Vacuum; D014945:Wound Healing