What is the role of surgery in the treatment of necrotizing fasciitis?

Updated: Sep 02, 2020
  • Author: Steven A Schulz, MD; Chief Editor: Michael Stuart Bronze, MD  more...
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Because necrotizing fasciitis is a surgical emergency, the patient should be admitted immediately to a surgical intensive care unit in a setting such as a regional burn center or trauma center, where the surgical staff is skilled in performing extensive debridement and reconstructive surgery. Such regional burn centers are ideal for the care of these patients because they also have hyperbaric oxygen facilities.

A regimen of surgical debridement is continued until tissue necrosis ceases and the growth of fresh viable tissue is observed. If a limb or organ is involved, amputation may be necessary because of irreversible necrosis and gangrene or because of overwhelming toxicity, which occasionally occurs. Prompt surgery ensures a higher likelihood of survival.

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