Management and postoperative use of double-cannula irrigation-drainage tube in cervical necrotizing fasciitis: a Chinese single-institution experience of 46 patients

Management of necrotizing fasciitis and the use of sealed irrigation system: A case report

Introduction

Necrotizing fasciitis [NF] is a deep soft tissue infection with high morbidity and mortality. The diagnosis is mainly clinical, and is confirmed during the surgical exploration, which is also the cornerstone of treatment.

Case presentation

We report a case of a 16-year-old female who complained of pain, tenderness, and erythema along her abdomen and back after a minor trauma on her left palm. The patient was treated with systemic antibiotics and daily surgical debridement followed by placement of a bilateral suction drainage system. A split-thickness graft was used to cover the defect on the lower back of the patient.

Conclusion

Sealed irrigation technique is an effective method to manage NF. Furthermore, it reduces the hospitalization duration by continuously removing the necrotic and infected material that hinder tissue healing.

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Necrotizing fasciitis is a rapidly spreading and fatal disease

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Early surgical exploration and debridement are the cornerstones of the treatment of necrotizing fasciitis.

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The sealed irrigation technique is effective in treating necrotizing fasciitis.