Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Successful treatment of perineal necrotising fasciitis and associated pubic bone osteomyelitis with the vacuum assisted closure system | BioMed Central World Journal of Surgical Oncology Open Access Case report Successful treatment of perineal necrotising fasciitis and associated pubic bone osteomyelitis with the vacuum assisted closure system Susim Kumar Mark E O Donnell Khalid Khan Gillian Dunne P Declan Carey and Jack Lee Address Department of General Surgery Belfast City Hospital Lisburn Road Belfast BT9 7AB Northern Ireland Uk Email Susim Kumar - susimkumar@ Mark E O Donnell - modonnell904@ Khalid Khan - Gillian Dunne - P Declan Jack Lee - jacklee@ Corresponding author Published 24 June 2008 Received 8 January 2008 World Journal of Surgical Oncology 2008 6 67 doi 1477-7819-6-67 Accepted 24 June 2008 This article is available from http content 6 1 67 2008 Kumar et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Acute necrotising fasciitis is a life-threatening condition which requires urgent surgical intervention. Surgical debridement is invariably associated with large areas of tissue loss. Case presentation We present a 58-year old woman with a past history of cervical carcinoma who presented with necrotising fasciitis of the perineum and upper thighs with associated pubic bone osteomyelitis. Following extensive debridement a Vacuum Assisted Closure VAC system was applied to the large residual defect to facilitate skin graft application and optimise wound healing. Conclusion This case demonstrates the successful management of a complex and potentially lethal wound of the perineum with debridement skin grafting and the VAC system. Background Necrotising .
