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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Format: | Article |
Language: | English |
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Shevchenko Scientific Society
2016-07-01
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Series: | Праці Наукового товариства імені Шевченка. Медичні науки |
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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. |
first_indexed | 2024-12-23T04:09:40Z |
format | Article |
id | doaj.art-a55c88d573ec4cd48f8886a8655048b3 |
institution | Directory Open Access Journal |
issn | 2708-8634 2708-8642 |
language | English |
last_indexed | 2024-12-23T04:09:40Z |
publishDate | 2016-07-01 |
publisher | Shevchenko Scientific Society |
record_format | Article |
series | Праці Наукового товариства імені Шевченка. Медичні науки |
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 |