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.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
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

Beteiligte Personen und Organisationen
Choundappan, M.

DOI
10.1055/s-0043-1773770
URN
urn:nbn:de:101:1-2024010412322832114685
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:25 MESZ

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Beteiligte

  • Choundappan, M.

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