Abstract
Necrotizing fasciitis (NF) of anterior abdominal wall is an unusual complication. The nature of the condition requires initial extensive wound debridement resulting in large wound burden. The delicate nature of the anterior abdominal wall with presence of underlying bowel or viscera makes the dressing of this wound complicated. Usual antiseptic or cleansing agent may cause fistula formation and systemic absorption with toxic effect. Therefore, we present the application of hypochlorous acid as the cleansing agent for abdominal wall wound following surgical debridement of NF with exposed bowel. The clinical and wound progression with the technique used is shared within the report.
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Acknowledgments
We would like to acknowledge the staff of the Surgical Department and the Record Office who had been helpful in the process of retrieving the record of the patient involved. We also thank the Head of Department and Hospital Director for the approval of this work. The authors would like to thank the Director General of Health Malaysia for the permission to publish this paper.
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All the authors included are sequenced in accordance with the contribution of each. Pang WS and Tan JH were involved in the conception of this report idea. Pang WS and Tan JH had drafted, planned, and organized the overall process; Pang WS had acquired and summarized the patient case, and together with Tan JH, was the major contributor of the literature review and the write up of the manuscript. Sekkapan, Tuan Nur, and Tan HCL were involved in the revision of the manuscript and final write up. All the authors read and approved the final manuscript.
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This case report is in line with the local ethics protocol and all the photographs and records included have obtained patient consent, whichever applicable. The records, radiographs, and images were the property of the institution, and local approval has been obtained for both retrieval and publication.
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Soon, P.W., Huei, T.J., Lip, H.T.C. et al. Wound Management Using Hypochlorous Acid for Severe Necrotizing Fasciitis of the Anterior Abdominal Wall with Exposed Bowel: a Case Report. SN Compr. Clin. Med. 3, 404–407 (2021). https://doi.org/10.1007/s42399-020-00701-6
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DOI: https://doi.org/10.1007/s42399-020-00701-6