Successful Treatment of Necrotizing Fasciitis of the Shoulder with the Application of a Negative-Pressure Wound Therapy: A Case Study

Shendong Wang1, Zhihai Fan1, Xiaozhong Zhou1, Zhanjun Yan2, Maohua Chen1, Qirong Dong1 and Chang She1*

1Department of Orthopedics, Second Affiliated Hospital of Soochow University, China
2Department of Orthopedics, Wujiang Affiliated Hospital of Nantong University, China

^*Correspondance to: Chang She 

 PDF  Full Text DOI: 10.25107/2474-1647.2771

Abstract

Necrotizing Fasciitis (NF) is a rapidly progressive soft tissue infection that involves the deep fascia and is characterized by extensive deterioration of the surrounding tissue. Vacuum Sealing Drainage (VSD) is a negative pressure wound therapy that has been commonly utilized in many clinical settings. It has been shown to be successful in the treatment of patients with severe complex wounds, including NF. In this case report, a 79 year-old-man presented with 2 days of fevers accompanied by progressive swelling and pain of the neck and shoulder. He underwent emergent surgical intervention under general anesthesia, including radical exploration and debridement of the wound. After extensive debridement, a VSD system was applied to the large open wound to further clean the wound bed, contributing to successful treatment of the patient. This case demonstrated that the VSD device is well tolerated and efficacious in the wound healing process of patients with NF.

Keywords

Necrotizing fasciitis; Negative-pressure wound therapy; Vacuum sealing drainage

Cite the article

Wang S, Fan Z, Zhou X, Yan Z, Chen M, Dong Q, et al. Successful Treatment of Necrotizing Fasciitis of the Shoulder with the Application of a Negative- Pressure Wound Therapy: A Case Study. Clin Surg. 2020; 5: 2771..