NECROTIZING FACCIITIS OF THE EXTERNAL GENITAL ORGANS IN MEN: AN UNSOLVED PROBLEM IN EMERGENCY UROLOGY
Abstract
Necrotizing fasciitis is a rare but life-threatening infection of the soft tissues. It is characterized by spreading inflammation and necrosis starting from the fascia, muscles, and subcutaneous fat, with subsequent necrosis of the overlying skin. Necrotizing fasciitis is classified into four types, depending on microbiological findings. The diagnosis of this disease is difficult. Late diagnosis is observed in 85–100% of cases and is considered the only cause of deaths. Emergency surgical debridement is the primary management modality for necrotizing fasciitis. Vacuum assisted closure therapy is fast and effective wound closure method. Antibiotics and surgical debridement play a key role in the treatment of necrotizing fasciitis.In our hospital, there were 75 patients with necrotizing fasciitis in the last 5 years (type I – 92%, type II – 8%). We observed localization of necrotizing fasciitis in the perineum (32%), upper extremities and chest (25%), lower extremities (28%), abdominal wall and retroperitoneal space (15%). Mortality was 9,5%.
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Статья поступила в редакцию 15.01.2024; одобрена после рецензирования 18.02.2024; принята к публикации 20.02.2024.
The article was submitted 15.01.2024; approved after reviewing 18.02.2024; accepted for publication 20.02.2024.
Информация об авторах:
Аллазов Салах Аллазович- д.м.н., профессор, кафедры хирургии №1 транcплантологии и урологии Самаркандский государственный медицинский университет, Самарканд, Узбекистан. G-mail: allazovsalax1950@gmail.com
Источники финансирования: Работа не имела специального финансирования.
Конфликт интересов: Авторы декларируют отсутствие явных и потенциальных конфликтов интересов, связанных с публикацией настоящей статьи.
Вклад авторов:
Аллазов С.А. — идеологическая концепция работы, редактирование статьи, сбор и анализ источников литературы, написание текста.
Information about the authors:
Allazov Salah Alazovich - MD, Professor, Department of Surgery No. 1 of Transplantology and Urology Samarkand State Medical University, Samarkand, Uzbekistan. Gmail: allazovsalax1950@gmail.com
Sources of funding: The work did not receive any specific funding.
Conflict of interest: The authors declare no explicit or potential conflicts of interest associated with the publication of this article.
Contribution of the authors:
Allazov Salah Alazovich — ideological concept of the work, editing the article, collection and analysis of literature sources, writing the text.
