Management of necrotising fasciitis secondary to abdominal liposuction using a combination of surgery, hyperbaric oxygen and negative pressure wound therapy in a patient with burn scars

I. Han Chiang, Shun Cheng Chang, Chih Hsin Wang

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Liposuction is the one of the most frequently performed cosmetic operations and usually has an easy recovery, with a reportedly low overall complication rate. Here, we report the case of a 60-year-old woman with type II diabetes mellitus and a previous burn injury of the abdomen who underwent abdominal liposuction and subsequently developed necrotising fasciitis. Following radical debridement, systemic antibiotic administration, negative pressure wound therapy and hyperbaric oxygen therapy, the wound healed completely. This case demonstrates the success of the combination treatment and highlights the need for clinicians to be aware of the risk of serious complications in selected patients.

Original languageEnglish
Pages (from-to)989-992
Number of pages4
JournalInternational Wound Journal
Volume14
Issue number6
DOIs
Publication statusPublished - Dec 1 2017

Fingerprint

Negative-Pressure Wound Therapy
Necrotizing Fasciitis
Lipectomy
Cicatrix
Oxygen
Hyperbaric Oxygenation
Wounds and Injuries
Debridement
Cosmetics
Abdomen
Type 2 Diabetes Mellitus
Anti-Bacterial Agents
Therapeutics

Keywords

  • Burn scar
  • Hyperbaric oxygen
  • Liposuction
  • Necrotising fasciitis
  • Negative pressure wound therapy

ASJC Scopus subject areas

  • Surgery
  • Dermatology

Cite this

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abstract = "Liposuction is the one of the most frequently performed cosmetic operations and usually has an easy recovery, with a reportedly low overall complication rate. Here, we report the case of a 60-year-old woman with type II diabetes mellitus and a previous burn injury of the abdomen who underwent abdominal liposuction and subsequently developed necrotising fasciitis. Following radical debridement, systemic antibiotic administration, negative pressure wound therapy and hyperbaric oxygen therapy, the wound healed completely. This case demonstrates the success of the combination treatment and highlights the need for clinicians to be aware of the risk of serious complications in selected patients.",
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AB - Liposuction is the one of the most frequently performed cosmetic operations and usually has an easy recovery, with a reportedly low overall complication rate. Here, we report the case of a 60-year-old woman with type II diabetes mellitus and a previous burn injury of the abdomen who underwent abdominal liposuction and subsequently developed necrotising fasciitis. Following radical debridement, systemic antibiotic administration, negative pressure wound therapy and hyperbaric oxygen therapy, the wound healed completely. This case demonstrates the success of the combination treatment and highlights the need for clinicians to be aware of the risk of serious complications in selected patients.

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