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URGENT SURGICAL MANAGEMENT OF NECROTISING FASCIITIS AND ITS OUTCOME IN DHQ TEACHING HOSPITAL, DG KHAN

Dr Fida Hussain, Dr Muhammad Usman Amiruddin, Dr Muhammad Hafeez Ullah, Dr Rasheed Ahmad

Objective: To determine the role of rapid and aggressive surgical debridement in reducing mortality and morbidity associated with necrotizing fasciitis and the role of bacteriology and antibiotic susceptibility as a result of this debilitating condition. Study Design: A Retrospective Study. Place and Duration: In the Surgical Unit 1 of DHQ Teaching Hospital, DG Khan for Two-year duration from August, 2017 to August, 2019. Methodology: Forty patients diagnosed of Necrotising fasciitis including Fournier’s gangrene were managed in this surgical unit were selected. All patients underwent emergency major debridement with broad-spectrum antibiotic treatment and regular dressing and debridement and hemodynamic support in the operating room. Results: 43.5 years was the mean age of presentation with range 16-78 years. Many cases presented late after five days of the disease onset. In most cases predisposing causes were found. When necrotizing fasciitis was suspected, a rapid and rapid surgical approach was initiated with immediate antibiotic and major debridement in the operating room and regular small debridement in the ward and if necessary, in the operating room. Mortality was 6 in this study. Conclusion: Early diagnosis, all necrotic tissues radical surgical debridement, forceful nutritional support and broad-spectrum antibiotics are specific treatment options for necrotizing fasciitis. Key words: Necrotizing fasciitis, surgical debridement, intravenous antibiotics.

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