Necrotizing Fasciitis following Soave Procedure in Hirschsprung Disease

Conclusion

NF following Soave procedure in HD is extremely uncommon. Early diagnosis, prompt aggressive medical therapy, and widespread debridement of devitalized tissues are the keys for the management of this potentially fatal disease. Also, VAC therapy is a supplemental treatment in the management of wounds associated with the high risk of severe infection as NF.

• References

• 1 Wilson B. Necrotizing fasciitis. Am Surg 1952; 18 (4) 416-431
• 2 Wilson HD, Haltalin KC. Acute necrotizing fasciitis in childhood. Report of 11 cases. Am J Dis Child 1973; 125 (4) 591-595
• 3 Laupland KB, Davies HD, Low DE, Schwartz B, Green K, McGeer A ; Ontario Group A Streptococcal Study Group. Invasive group A streptococcal disease in children and association with varicella-zoster virus infection. Pediatrics 2000; 105 (5) E60
• 4 Swartz MN, Pasternack MS. Cellulitis and subcutaneous tissue infections. In: Mandell GL, Bennett JE, Dolin R, , eds. Principles and Practice of Infectious Diseases. 6th ed. New York: Churchill Livingstone; 2005: 1172-1194
• 5 Wang G, Sun XY, Wei MF, Weng YZ. Heart-shaped anastomosis for Hirschsprung's disease: Operative technique and long-term follow-up. World J Gastroenterol 2005; 11 (2) 296-298
• 6 Sowande OA, Adejuyigbe O. Ten-year experience with the Swenson procedure in Nigerian children with Hirschsprung's disease. Afr J Paediatr Surg 2011; 8 (1) 44-48
• 7 Darmstadt G. Subcutaneous tissue infections and abscesses. In: Long S, Pickering L, Prober C, , eds. Principles and Practice of Pediatric Infectious Diseases. 2nd ed. New York: Churchill Livingstone; 2003: 449-457
• 8 Sarani B, Strong M, Pascual J, Schwab CW. Necrotizing fasciitis: current concepts and review of the literature. J Am Coll Surg 2009; 208 (2) 279-288
• 9 McHenry CR, Piotrowski JJ, Petrinic D, Malangoni MA. Determinants of mortality for necrotizing soft-tissue infections. Ann Surg 1995; 221 (5) 558-563 , discussion 563–565
• 10 Abass K, Saad H, Abd-Elsayed AA. Necrotizing fasciitis with toxic shock syndrome in a child: a case report and review of literature. Cases J 2008; 1 (1) 228
• 11 Bingöl-Koloğlu M, Yildiz RV, Alper B , et al. Necrotizing fasciitis in children: diagnostic and therapeutic aspects. J Pediatr Surg 2007; 42 (11) 1892-1897
• 12 Sakata S, Das Gupta R, Leditschke JF, Kimble RM. Extensive necrotising fasciitis in a 4-day-old neonate: a successful outcome from modern dressings, intensive care and early surgical intervention. Pediatr Surg Int 2009; 25 (1) 117-119
• 13 Young MH, Aronoff DM, Engleberg NC. Necrotizing fasciitis: pathogenesis and treatment. Expert Rev Anti Infect Ther 2005; 3 (2) 279-294
• 14 Mouës CM, van den Bemd GJ, Heule F, Hovius SE. Comparing conventional gauze therapy to vacuum-assisted closure wound therapy: a prospective randomised trial. J Plast Reconstr Aesthet Surg 2007; 60 (6) 672-681
• 15 Schaffzin DM, Douglas JM, Stahl TJ, Smith LE. Vacuum-assisted closure of complex perineal wounds. Dis Colon Rectum 2004; 47 (10) 1745-1748