Wound Coverage in Extensive Necrotizing Fasciitis with Chronic Liver Disease

Abstract: Chronic liver disease is characterized by lowered immunity, altered hematological parameters, and poor wound healing. Surgeons may hesitate to intervene in such patients when they present with necrotizing fasciitis (NF) or misinform the patients regarding their chances of survival. This is because of the poor nutritional state, thrombocytopaenia, and abnormal coagulation profile. However, recent guidelines show that platelet count and prothrombin time/international normalized ratio (PT-INR) do not predict postoperative bleeding. We can proceed with debridement followed by skin grafting of wounds in such patients. This will help reduce the high mortality rate of NF in cirrhotic patients.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Wound Coverage in Extensive Necrotizing Fasciitis with Chronic Liver Disease ; volume:56 ; number:05 ; year:2023 ; pages:466-469
Indian journal of plastic surgery ; 56, Heft 05 (2023), 466-469

Contributor
Choundappan, M.

DOI
10.1055/s-0043-1773770
URN
urn:nbn:de:101:1-2024010412322832114685
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:25 AM CEST

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Associated

  • Choundappan, M.

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