What is the surgical regimen for necrotizing fasciitis?

Updated: Oct 17, 2018
  • Author: Steven A Schulz, MD; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

The surgical regimen can be summarized as follows:

  • Surgical incisions should be deep and extend beyond the areas of necrosis until viable tissue is reached

  • The entire necrotic area should be excised

  • The wound should be well irrigated

  • Hemostasis should be maintained, and the wound should be kept open

  • Surgical debridement and evaluations should be repeated almost on a daily basis

  • The wound should be inspected in the operating room


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