title: Damage control apronectomy for necrotising fasciitis and strangulated umbilical hernia.
abstract: We present a case of a 50-year-old morbidly obese woman who presented with a case of necrotizing fasciitis of the anterior abdominal wall due to a strangulated umbilical hernia. The case was managed through damage control surgery (DCS) with an initial surgery to stabilise the patient and a subsequent definitive operation and biological graft hernia repair. We emphasise the relevance of DCS principles in the management of severe abdominal sepsis.
authors.affiliation: Department of Surgery, Mid-Western Regional Hospital, The Graduate Medical School, University of Limerick, Dooradoyle, Limerick, Republic of Ireland.
authors.forename: P
authors.initials: P
authors.lastname: Coyle
authors.forename: S
authors.initials: S
authors.lastname: Jaber
authors.forename: J
authors.initials: J
authors.lastname: Smith
authors.forename: P A
authors.initials: PA
authors.lastname: Grace
mesh_terms: D034861:Abdominal Wall / Q000473:pathology; D001672:Biocompatible Materials / Q000627:therapeutic use; D003094:Collagen / Q000627:therapeutic use; D015897:Comorbidity; D016638:Critical Illness; D019115:Fasciitis, Necrotizing / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery*; D005260:Female; D006554:Hernia, Umbilical / Q000150:complications* / Q000601:surgery; D006801:Humans; D007813:Laparotomy / Q000379:methods; D008875:Middle Aged; D009336:Necrosis; D009767:Obesity, Morbid / Q000453:epidemiology; D016879:Salvage Therapy; D018805:Sepsis / Q000628:therapy
chemical_list: D001672:Biocompatible Materials; C422414:Permacol; D003094:Collagen