Necrotizing Soft Tissue Infections: Surgeon’s Prospective

Necrotizing soft tissue infections (NSTIs) are fulminant infections of any layer of the soft tissue compartment associated with widespread necrosis and systemic toxicity. Delay in diagnosing and treating these infections increases the risk of mortality. Early and aggressive surgical debridement with...

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Main Authors: Shashi Prakash Mishra, Shivanshu Singh, Sanjeev Kumar Gupta
Format: Article
Language:English
Published: Hindawi Limited 2013-01-01
Series:International Journal of Inflammation
Online Access:http://dx.doi.org/10.1155/2013/609628
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spelling doaj-ca990cc72a7b4782a36a20c515b575612020-11-24T22:09:59ZengHindawi LimitedInternational Journal of Inflammation2090-80402042-00992013-01-01201310.1155/2013/609628609628Necrotizing Soft Tissue Infections: Surgeon’s ProspectiveShashi Prakash Mishra0Shivanshu Singh1Sanjeev Kumar Gupta2Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, IndiaDepartment of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, IndiaDepartment of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, IndiaNecrotizing soft tissue infections (NSTIs) are fulminant infections of any layer of the soft tissue compartment associated with widespread necrosis and systemic toxicity. Delay in diagnosing and treating these infections increases the risk of mortality. Early and aggressive surgical debridement with support for the failing organs significantly improves the survival. Although there are different forms of NSTIs like Fournier’s gangrene or clostridial myonecrosis, the most important fact is that they share common pathophysiology and principles of treatment. The current paper summarizes the pathophysiology, clinical features, the diagnostic workup required and the treatment principles to manage these cases.http://dx.doi.org/10.1155/2013/609628
collection DOAJ
language English
format Article
sources DOAJ
author Shashi Prakash Mishra
Shivanshu Singh
Sanjeev Kumar Gupta
spellingShingle Shashi Prakash Mishra
Shivanshu Singh
Sanjeev Kumar Gupta
Necrotizing Soft Tissue Infections: Surgeon’s Prospective
International Journal of Inflammation
author_facet Shashi Prakash Mishra
Shivanshu Singh
Sanjeev Kumar Gupta
author_sort Shashi Prakash Mishra
title Necrotizing Soft Tissue Infections: Surgeon’s Prospective
title_short Necrotizing Soft Tissue Infections: Surgeon’s Prospective
title_full Necrotizing Soft Tissue Infections: Surgeon’s Prospective
title_fullStr Necrotizing Soft Tissue Infections: Surgeon’s Prospective
title_full_unstemmed Necrotizing Soft Tissue Infections: Surgeon’s Prospective
title_sort necrotizing soft tissue infections: surgeon’s prospective
publisher Hindawi Limited
series International Journal of Inflammation
issn 2090-8040
2042-0099
publishDate 2013-01-01
description Necrotizing soft tissue infections (NSTIs) are fulminant infections of any layer of the soft tissue compartment associated with widespread necrosis and systemic toxicity. Delay in diagnosing and treating these infections increases the risk of mortality. Early and aggressive surgical debridement with support for the failing organs significantly improves the survival. Although there are different forms of NSTIs like Fournier’s gangrene or clostridial myonecrosis, the most important fact is that they share common pathophysiology and principles of treatment. The current paper summarizes the pathophysiology, clinical features, the diagnostic workup required and the treatment principles to manage these cases.
url http://dx.doi.org/10.1155/2013/609628
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