HEMOROİDEKTOMİ SONRASI NEKROTİZAN FASİİT

Öz

Nekrotizan fasiit (NF); genellikle alt ekstremite ve perianal bölgeyi tutan, ciltten fasyaya kadar uzanan, progresif bir yumuşak doku enfeksiyonudur. Sıklıkla yaşlılarda görülmesine rağmen yandaş hastalıklar, geçirilmiş cerrahi öyküsü ve immün sistem bozuklukları olan her yaş grubunda görülebilmektedir. Hızlı doku istilası sonucu gelişen NF, erken tanı ve erken cerrahi debridman yapılamaz ise ciddi morbidite ve mortaliteye sebep olabilmektedir. Bu nedenle klinikte lezyon ile orantısız ağrı, ateş ve septik belirteçler varsa NF den şüphelenilmelidir. NF’nin tedavisinde en önemli basamak erken cerrahi debridman ve uygun antibiyoterapi başlanmasıdır. Ayrıca bu tedavilerin yanında çeşitli yara bakım tedavileri de uygulanabilmektedir. Biz de hemoroidektomi sonrası NF gelişen bir olguda tanıdan taburculuğa geçen süreci, tedavi yönetimi açısından anlatmaya çalıştık.

Anahtar Kelimeler

• Nekrotizan fasiit
• fasyotomi
• hemoroid

NECROTIZING FACICIT AFTER HEMOROIDECTOMY

Öz

Necrotizing fasciitis (NF); is a progressive soft tissue infection involving the lower extremities and perianal region, extending from the skin to the fascia. Although it is frequently seen in the elderly, it can be seen in all age groups with concomitant diseases, previous surgery history, and immune system disorders. NF, which develops as a result of rapid tissue invasion, can cause serious morbidity and mortality if early diagnosis and early surgical debridement are not performed. Therefore, NF should be suspected if pain, fever, and septic markers are disproportionate to the lesion in the clinic. The most important step in the treatment of NF is early surgical debridement and initiation of appropriate antibiotics. In addition to these treatments, various wound care treatments can also be applied. We tried to explain the process from diagnosis to discharge in a patient who developed NF after hemorrhoidectomy in terms of treatment management.

Anahtar Kelimeler

• Necrotizing fasciitis
• fasciotomy
• hemorrhoids

Kaynakça

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