Abstract
This article describes a case of necrotizing fasciitis in a 52-year-old man with previously undiagnosed diabetes. Treatment involved massive debridement and subsequent dressing of the open surgical wound. A modern hydrofibre dressing (Aquacel) was inserted intraoperatively and subsequently continued postoperatively. Wound healing occurred over 3 months and the patient was discharged with no disability. The dressing managed the exudate level and kept the wound moist. It also was well tolerated by the patient, was comfortable and easy for the nurses to remove and apply.
MeSH terms
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Carboxymethylcellulose Sodium / therapeutic use*
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Debridement
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Diabetic Ketoacidosis / complications
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Diabetic Ketoacidosis / diagnosis
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Fasciitis, Necrotizing / diagnosis
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Fasciitis, Necrotizing / etiology
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Fasciitis, Necrotizing / therapy*
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Fournier Gangrene / diagnosis
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Fournier Gangrene / etiology
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Fournier Gangrene / therapy*
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Groin*
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Humans
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Intraoperative Care / methods
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Intraoperative Care / nursing
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Male
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Middle Aged
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Postoperative Care / methods
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Postoperative Care / nursing
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Scrotum*
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Skin Care / methods
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Skin Care / nursing*
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Suppuration
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Treatment Outcome
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Wound Healing
Substances
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Carboxymethylcellulose Sodium