AI Article Synopsis
- El tratamiento exitoso de infecciones necrotizantes de tejidos blandos (INTB) depende de un diagnóstico temprano y un enfoque terapéutico agresivo que incluye desbridamiento quirúrgico y antibióticos de amplio espectro.
- Se presenta un caso de INTB secundaria a diverticulitis aguda perforada para destacar consideraciones específicas en el manejo de estas infecciones en la pared abdominal.
- Los puntos clave incluyen desbridamiento quirúrgico rápido y agresivo, antibioterapia guiada por cultivos y utilización de técnicas combinadas de reparación y terapia de presión negativa, lo que ha resultado en un buen pronóstico.
Article Abstract
El éxito en el tratamiento de las infecciones necrotizantes de los tejidos blandos (INTB) depende de la precocidad diagnóstica y de la agresividad terapéutica, basada en el desbridamiento quirúrgico, la antibioticoterapia de amplio espectro y el soporte intensivo. Se presenta un caso de INTB secundaria a diverticulitis aguda perforada (Hinchey 4) con el fin de ilustrar las consideraciones particulares en el manejo de la INTB de localización en la pared abdominal, apoyadas en la evidencia disponible en la literatura científica. Se identifican como puntos clave la precocidad y la agresividad del desbridamiento quirúrgico, la antibioticoterapia dirigida por el cultivo y su suspensión guiada por la negativización microbiológica; y el empleo de técnicas combinadas de autoplastia y prótesis apoyadas en la terapia de presión negativa en la restauración de la pared abdominal, con lo que se ha obtenido un buen resultado. Successful treatment of necrotizing soft tissue infections (NSTI) depends on early diagnosis and therapeutical aggressiveness, based on surgical debridement, broad spectrum antibiotics and intensive support. A case of perforated diverticulitis (Hinchey 4)-secondary-NSTI is presented in order to illustrate the particular considerations in the management of abdominal wall located NSTI, supported on the evidence available in scientific literature. Several key points are identified, such as prompt and aggressive surgical debridement; culture-guided antibiotherapy and its suspension based on microbiological negativization; and the utilization of combined techniques of autoplastic repair and replacement, also supported on negative pressure therapy in the abdominal wall restoration, which have shown a good outcome.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.24875/CIRU.18000352 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Abdominal wall closure: how do we do it in Spain? Survey of specialist general surgeons members of the AEC (Spanish Society of Surgeons).
Cir Esp (Engl Ed)
December 2024
Abdominal Wall Unit, Parc de Salut Mar, Hospital del Mar, Barcelona, Spain.
Objectives: To evaluate the knowledge of abdominal wall closure in a cohort of specialist general surgeons who are members of the AEC and to see its adequacy with current recommendations. Sub-analysis in terms of years of specialization.
Material And Methods: Individual questionnaire of 21 questions on abdominal wall closure in elective and urgent context.
Solitary fibrous tumor of the abdominal wall: a new case with literature review.
Cir Cir
November 2024
Department of General and Digestive Surgery.
Objective: We present a solitary fibrous tumor (SFT) of the abdominal wall treated laparoscopically.
Method: We will discuss the clinicopathologic characteristics and will present a review of the literature.
Results: SFTs are rare neoplasms of mesenchymal origin.
How I Do It: Madrid posterior component separation in 10 steps, with special consideration of its anatomy.
Langenbecks Arch Surg
November 2024
Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario del Henares, Madrid, Spain.
Purpose: The Madrid Posterior Component Separation technique (Madrid PCS) is an approach for abdominal wall reconstruction that leverages anatomical landmarks to optimize outcomes. This manuscript describes ten essential steps for performing the Madrid PCS, focusing on technique, safety, and efficiency.
Methods: A comprehensive step-by-step approach is outlined, beginning with the initial incision and adhesiolysis, progressing through retromuscular dissection, and concluding with lateral release and subxiphoid dissection.
Comprehensive retrospective analysis of the European hernia Society quality of life in patients undergoing abdominal wall reconstruction.
Am J Surg
August 2024
Henares University Hospital, Av. de Marie Curie S/n, 28822, Coslada, Madrid, Spain; Grupo de Investigación de Pared Abdominal Compleja. Universidad Francisco de Vitoria, Madrid, Spain. Electronic address:
Introduction: This study aimed to analyze the European Hernia Society Quality of Life (EHS-QoL) in abdominal wall reconstruction by comparing preoperative scores with those at 1 and 2 postoperative years.
Methods: Data from 105 patients with complex incisional hernias were collected preoperatively and at 1 and 2 years postoperatively. Statistical analyses included three ART ANOVA models to compare scores among the three time points and within each time point's items.
Are surgeons the worst part of surgery?
Cir Esp (Engl Ed)
November 2024
Profesor de Cirugía. Universidad Autónoma de Barcelona, Jefe de la Unidad de Cirugía de la Pared Abdominal, Hospital Universitario Vall d'Hebrón, Barcelona, Spain. Electronic address:
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!