Multidisciplinary management of a complex abdominal wound post necrotising fasciitis: a case study

Wynn, MO; Gibson, R; Goldsmith, P

Abstract

A 59-year-old male patient presented with abdominal necrotising fasciitis secondary to a bowel perforation through a previous drain site that he had waited at home with for two weeks. Enteric contents were found within the abdominal wall. Surgery required extensive abdominal wall debridement and the formation of a double-barrel ileostomy within the debrided area. The resulting abdominal wound was large, initially covering an area of approximately 424cm2, and had continuous contamination from enteric leakage that could not be isolated. Achieving wound healing was challenging due to the enteric output and resultant continuous contamination of the wound bed.

Citation

Wynn, M., Gibson, R., & Goldsmith, P. (2022). Multidisciplinary management of a complex abdominal wound post necrotising fasciitis: a case study. Journal of Wound Care, 31(11), 924-929. https://doi.org/10.12968/jowc.2022.31.11.924

• Journal Article Type: Article
• Acceptance Date: Oct 26, 2022
• Publication Date: Nov 11, 2022
• Deposit Date: Jan 4, 2023
• Publicly Available Date: May 12, 2023
• Journal: Journal of Wound Care
• Print ISSN: 0969-0700
• Publisher: MA Healthcare
• Volume: 31
• Issue: 11
• Pages: 924-929
• DOI: https://doi.org/10.12968/jowc.2022.31.11.924
• Publisher URL: https://doi.org/10.12968/jowc.2022.31.11.924
• Additional Information: Additional Information : This document is the Accepted Manuscript version of a Published Work that appeared in final form in Journal of Wound Care, copyright © MA Healthcare, after peer review and technical editing by the publisher. To access the final edited and published work see https://www.magonlinelibrary.com/journal/jowc