What is the role of soft-tissue reconstruction in the management of necrotizing fasciitis?

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

Once all of the affected tissues have been debrided, soft tissue reconstruction can be considered. In the authors’ experience, this may take at least 2 debridements. When the debridement involves relatively small (< 25%) body surface areas, skin grafts and flaps can provide coverage. When donor-site availability is limited, alternatives to standard skin graft construction must be considered, including Integra artificial skin (Integra Life Sciences, Plainsboro, NJ) and AlloDerm (LifeCell Corporation, Blanchburg, NJ). [87, 88]


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