Abdominoplasty as a reconstructive surgical treatment of necrotising fasciitis of the abdominal wall.
OBJECTIVE
Necrotising fasciitis (NF) is a potentially fatal, uncommon infection of the soft tissue with rapid progression. This article presents one case of NF of the abdomen wall, describing the presentation, diagnosis and long-term successful treatment.


METHODS
The defect of the abdominal wall was treated with medical support (antibiotics broad-spectrum coverage), V.A.C. therapy and plastic surgery procedures.


RESULTS
The coverage of the abdominal wall defect has been achieved by abdominoplasty-type advancement flaps in one step with the preservation of the umbilicus. One month after the surgical procedure, the patient returned to a normal lifestyle with a good quality of life.


CONCLUSIONS
The success of this case should be attributed to an early diagnosis, aggressive debridement and a good intensive medical management; these elements are essential to a better prognosis for NF.
Brafa
Anna
A
Plastic Surgery Unit, University of Siena, Le Scotte Hospital, Siena, Italy. annabrafa@virgilio.it
Grimaldi
Luca
L
Brandi
Cesare
C
Nisi
Giuseppe
G
Calabrò
Massimiliano
M
Campa
Alessandra
A
D'Aniello
Carlo
C
D034861:Abdominal Wall / Q000601:surgery*; D000368:Aged; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps