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Case Reports in Surgery
Volume 2014 (2014), Article ID 981262, 3 pages
http://dx.doi.org/10.1155/2014/981262
Case Report

Fasciitis Necroticans after Elective Hernia Inguinal Surgery

1Atrium Medical Centre, Department of General Surgery, Henri Dunantstraat 5, 6419 PC Heerlen, The Netherlands
2Oxford University Hospitals, Department of Surgery, Old Road, Headington, Oxford OX3 7LE, UK
3Diakonessenhuis, Department of Surgery, Bosboomstraat 3, 3582 KE Utrecht, The Netherlands

Received 12 September 2013; Accepted 26 November 2013; Published 5 January 2014

Academic Editors: G. Sandblom, Y.-B. Tang, and F. Turégano

Copyright © 2014 T. A. Sigterman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Necrotising fasciitis is a rare but disastrous complication after elective surgery. We present two patients (both male, 58 and 18 years old) who developed necrotising fasciitis following elective inguinal hernia repair according to Lichtenstein. The importance of both recognition and time interval between symptom occurrence and surgical intervention is illustrated, emphasising the need for immediate action when necrotising fasciitis is suspected. A high index of suspicion of necrotising fasciitis should be maintained when a wound infection is accompanied by disproportional pain, lethargy, or sepsis. Epidermolysis and subcutaneous emphysema are often very late symptoms. Recognition and immediate intervention decrease mortality and morbidity.