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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 2001  |  Volume : 6  |  Issue : 2  |  Page : 26-30

Necrotising fasciitis in the newborn-a continuing surgical challenge


Ankur Hospital for Children 1666, E, 10th Lane Rajarampuri Kolhapur-416001

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D Kittur
Ankur Hospital for Children 1666, E, 10th Lane Rajarampuri Kolhapur-416001

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ABSTRACT: In spite of availability of a variety of newer antibiotics, necrotising fasciitis in the newborn continues to be a surgical challenge not only in the general management, but also because of the severe skin and soft tissue loss. The author here reports 8 patients who presented with necrotising fasciitis resulting in large areas of necrosis of the skin and exposure of the skull bones due to necrosis of pericranium as well. The paper lays stress on through debridement and deals with guidelines used to harvest granulation tissue in case of exposed skull bones, before they can be covered by a skin graft. Since the size of skin grafts is large and graft mesh machines are not available easily, details of obtaining large grafts from the newborn's back is discussed. The author feels that the burns due to the low heat generated by the customary 'Sigree', used to keep the baby and the mother warm, could be one of the etiological factors.






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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

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