NECROTIZING FASCITIIS OF THE LOWER LIMB AND FACTORS AFFECTING ITS OUTCOME: CASE SERIES

V.Agarwal; Dhanesh Kumar; Ritin Malik; Aman Singhal; Gopal

Volume : V, Issue : X, October - 2016

NECROTIZING FASCITIIS OF THE LOWER LIMB AND FACTORS AFFECTING ITS OUTCOME: CASE SERIES

V. Agarwal, Dhanesh Kumar, Ritin Malik, Aman Singhal, Gopal

Abstract :

Necrotizing Fascitiis a rapidly spreading, lethal, infective gangrene of the subcutaneous tissues. Early surgical deidement is the key to a favorable outcome. A retrospective study was done on 30 patients presenting to our hospital over 2 years.Etiology, Age ,Sex, Stage of disease on presentation, were analyzed and the factors affecting outcome were sought. The data collected was compared to previous studies and statistically tabulated. In our study, 16(53.3%) patients were in the age group of 41–60 years, Males to females ratio was 19:11. Most common etiology was trivial trauma. Patients presenting with comorbidities were 60%, with diabetes mellitus being the most common. Average time to onset of symptoms to hospital presentation was 2.86 days, and time to first surgery was 3.46 days. Most common site involved in the lower limbs was the left leg in 26.67% patients and the most frequent pathogen isolated was coagulase positive Staphylococcus in 20% cases. Definitive management as split skin grafting was done in 25 patients. The mortality in our study was 13.3%. We concluded that time of presentation, timing of first surgery ,patients with advanced age and multiple comorbidities have poorer prognosis.