REVIEW OF MODERN APPROACHES IN THE DIAGNOSIS AND TREATMENT OF NECROTIZING FACIITIS

Necrotizing fasciitis is a severe rapidly extending surgical infection of superfi cial fascia and subcutaneous fat which leads to the development of secondary skin necrosis, severe sepsis and multiple organ failure. If local symptoms of the patient don’t coincide with his general state, all the poss...

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Main Author: Igor Stoyanovskyj
Format: Article
Language:English
Published: Shevchenko Scientific Society 2016-07-01
Series:Праці Наукового товариства імені Шевченка. Медичні науки
Subjects:
Online Access:https://mspsss.org.ua/index.php/journal/article/view/128
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author Igor Stoyanovskyj
author_facet Igor Stoyanovskyj
author_sort Igor Stoyanovskyj
collection DOAJ
description Necrotizing fasciitis is a severe rapidly extending surgical infection of superfi cial fascia and subcutaneous fat which leads to the development of secondary skin necrosis, severe sepsis and multiple organ failure. If local symptoms of the patient don’t coincide with his general state, all the possible assistants should be used – from non-invasive imaging diagnostic to diagnostic wound exploration for confi rmation or denial of morphological substrate necrotizing fasciitis. It is accompanied with high rates of mortality and limbs loss It is accompanied with high rates of mortality and limb loss. Modern approaches to the early diagnosis and effective surgical debridement of necrotizing fasciitis are reviewed in the article. The principle of surgical debridement is proposed, which depends on the advance of pathomorphological changes in the soft tissues. The use of this approach allows to decrease the rate of diagnostic mistakes and improve treatment result of this pathology. The use of modern equipments and materials for wound treatment by subatmospheric preasure has considerably improved the quality of treatment for patients with necrotizing fasciitis. It also accelerate wound healing and reduces needs for d-bridement.
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spelling doaj.art-a55c88d573ec4cd48f8886a8655048b32022-12-21T18:00:33ZengShevchenko Scientific SocietyПраці Наукового товариства імені Шевченка. Медичні науки2708-86342708-86422016-07-0128415810.25040/ntsh2016.01.041128REVIEW OF MODERN APPROACHES IN THE DIAGNOSIS AND TREATMENT OF NECROTIZING FACIITISIgor Stoyanovskyj0Danylo Halytsky Lviv National Medical University, Lviv, UkraineNecrotizing fasciitis is a severe rapidly extending surgical infection of superfi cial fascia and subcutaneous fat which leads to the development of secondary skin necrosis, severe sepsis and multiple organ failure. If local symptoms of the patient don’t coincide with his general state, all the possible assistants should be used – from non-invasive imaging diagnostic to diagnostic wound exploration for confi rmation or denial of morphological substrate necrotizing fasciitis. It is accompanied with high rates of mortality and limbs loss It is accompanied with high rates of mortality and limb loss. Modern approaches to the early diagnosis and effective surgical debridement of necrotizing fasciitis are reviewed in the article. The principle of surgical debridement is proposed, which depends on the advance of pathomorphological changes in the soft tissues. The use of this approach allows to decrease the rate of diagnostic mistakes and improve treatment result of this pathology. The use of modern equipments and materials for wound treatment by subatmospheric preasure has considerably improved the quality of treatment for patients with necrotizing fasciitis. It also accelerate wound healing and reduces needs for d-bridement.https://mspsss.org.ua/index.php/journal/article/view/128surgical infection, soft tissues, diagnostic criteria, debridement
spellingShingle Igor Stoyanovskyj
REVIEW OF MODERN APPROACHES IN THE DIAGNOSIS AND TREATMENT OF NECROTIZING FACIITIS
Праці Наукового товариства імені Шевченка. Медичні науки
surgical infection, soft tissues, diagnostic criteria, debridement
title REVIEW OF MODERN APPROACHES IN THE DIAGNOSIS AND TREATMENT OF NECROTIZING FACIITIS
title_full REVIEW OF MODERN APPROACHES IN THE DIAGNOSIS AND TREATMENT OF NECROTIZING FACIITIS
title_fullStr REVIEW OF MODERN APPROACHES IN THE DIAGNOSIS AND TREATMENT OF NECROTIZING FACIITIS
title_full_unstemmed REVIEW OF MODERN APPROACHES IN THE DIAGNOSIS AND TREATMENT OF NECROTIZING FACIITIS
title_short REVIEW OF MODERN APPROACHES IN THE DIAGNOSIS AND TREATMENT OF NECROTIZING FACIITIS
title_sort review of modern approaches in the diagnosis and treatment of necrotizing faciitis
topic surgical infection, soft tissues, diagnostic criteria, debridement
url https://mspsss.org.ua/index.php/journal/article/view/128
work_keys_str_mv AT igorstoyanovskyj reviewofmodernapproachesinthediagnosisandtreatmentofnecrotizingfaciitis