Necrotizing fasciitis is a serious and rapidly progressive infection of the fascia that usually is a complication from an originating skin infection that can occur anywhere on the body. This condition is a medical emergency that involves rapid diagnosis, broad-spectrum antibiotics, cardiopulmonary support, and the standard treatment of aggressive surgical removal of necrotic tissue. Although initial management of the infection is of utmost importance, the resulting soft tissue defects are essential to reconstruct as they can lead to serious functional and aesthetic problems.
About the Procedure
Necrotizing fasciitis can encompass a multitude of systems such as muscles, nerves, tendons, ligaments, and other tissues during the course of infection. As such, a variety of surgical techniques can be applied to address the tissue lost during infection and preliminary radical resection surgeries. The Pacific Plastic Surgery Group has advanced knowledge of skin grafting, microsurgical free flaps, and tissue manipulation to provide adequate coverage of open wounds while enhancing aesthetic appearance.
About the Recovery
The mortality rate if quite high for necrotizing fasciitis and the primary goal is to control the rapid progression of the infection. Recovery from the infection and staged reconstruction will likely take months with a high likelihood of permanent disability.