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A Journal on Surgery
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,877
Minerva Chirurgica 2000 March;55(3):181-4
A necrotizing fasciitis after laparoscopy adhesiolysis. A case report
Dalla Torre A., Cappelloni M.
A case of a fulminating necrotizing cellulitis after a laparoscopic adhesiolysis perfomed for ileal obstructive disease, is presented. During operation, a very little intestinal perforation was caused by an ''atraumatic grasper'', and intestinal fluid flooded into the peritoneum; the lesion was sutured. A copious peritoneal lavage was performed and the operation ended by positioning a peritoneal drain. The patient was going well, passing flatus on the second postoperative day; on the fourth postoperative day erythematous edema close one of the trocar wound appeared. In spite of an aggressive medical and surgical therapy the infection had a very rapid spreading and the patient died six days later. A literature review is reported and simple intraoperative remedies are proposed.