Cellulitis surgery
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Overview
Progression of cellulitis presenting with the following signs and symptoms requires urgent surgical evaluation: rapid progression, circumferential cellulitis, crepitus, worsening bullae, pain inconsistent with examination findings, or other signs indicative of necrotizing fasciitis. Necrotic skin requires debridement to allow healthy granulation tissue growth and promote healing. Necrotizing fasciitis is a surgical emergency necessitating early debridement for favorable outcomes.The presence of an abscess requires incision and drainage for adequate treatment.
Indications
- Surgery is usually reserved for patients with either:
References
- ↑ Hepburn MJ, Dooley DP, Skidmore PJ, Ellis MW, Starnes WF, Hasewinkle WC (2004). "Comparison of short-course (5 days) and standard (10 days) treatment for uncomplicated cellulitis". Arch Intern Med. 164 (15): 1669–74. doi:10.1001/archinte.164.15.1669. PMID 15302637. Review in: ACP J Club. 2005 Mar-Apr;142(2):45
- ↑ Abrahamian FM, Talan DA, Moran GJ (2008). "Management of skin and soft-tissue infections in the emergency department". Infect Dis Clin North Am. 22 (1): 89–116, vi. doi:10.1016/j.idc.2007.12.001. PMID 18295685.
- ↑ Wong CH, Yam AK, Tan AB, Song C (2008). "Approach to debridement in necrotizing fasciitis". Am J Surg. 196 (3): e19–24. doi:10.1016/j.amjsurg.2007.08.076. PMID 18614147.