Necrotizing Fasciitis in Aesthetic Surgery: A Review of the Literature

Marchesi, Andrea; Marcelli, Stefano; Parodi, Pier Camillo; Perrotta, Rosario Emanuele; Riccio, Michele; Vaienti, Luca

doi:10.1007/s00266-016-0754-2

Cited by 30 publications

(16 citation statements)

References 47 publications

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“…SAL is one of the most commonly performed cosmetic surgeries, and providers must be aware of surgical technique as well as potential complications [3]. Outpatient SAL is typically performed under local anesthesia and is used commonly on the buttocks, back, thighs, face, chest, and abdomen.…”

Section: Discussionmentioning

confidence: 99%

“…Suction-assisted lipectomy (SAL), also known as liposuction, is one of the most popular cosmetic procedures in the United States, with more than 250,000 performed in 2018 [1]. While SAL is widely considered a minor surgery, it is not without potentially serious risks including perforated viscus, local anesthetic systemic toxicity, intravascular fluid shifts, hematoma formation, skin necrosis, and surgical site infections [2,3]. A rare but important complication that has been associated with liposuction is necrotizing fasciitis, which is a dangerous and rapidly progressive infection of the soft tissue [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…While SAL is widely considered a minor surgery, it is not without potentially serious risks including perforated viscus, local anesthetic systemic toxicity, intravascular fluid shifts, hematoma formation, skin necrosis, and surgical site infections [2,3]. A rare but important complication that has been associated with liposuction is necrotizing fasciitis, which is a dangerous and rapidly progressive infection of the soft tissue [3,4]. This condition has many causes ranging from minor skin lacerations to major surgical procedures, and clinical manifestations typically include soft-tissue swelling, skin bullae, and erythema [5,6].…”

Section: Introductionmentioning

confidence: 99%

“…These cutaneous findings are often absent until late in the disease progression, and other less specific manifestations such as pain out of proportion on the physical examination, fever, and fatigue can complicate the diagnosis of necrotizing fasciitis, particularly in the context of a recent surgery where symptoms may mimic routine post-surgical changes [6,7]. The majority of necrotizing infections identified due to liposuction are monomicrobial and associated with Streptococcus pyogenes [3]. Here, we describe a rare case of iatrogenic perforated viscus with Escherichia coli necrotizing fasciitis in a patient after SAL.…”

Section: Introductionmentioning

confidence: 99%

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Necrotizing Soft Tissue Infection and Perforated Viscus After Suction-Assisted Lipectomy

Fuente

Ferdinand

Dybas

et al. 2020

Cureus

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Suction-assisted lipectomy (SAL) is a commonly performed cosmetic surgery in the United States and has been steadily increasing in popularity over the past few years. As more of these surgeries are performed, several rare but life-threatening complications are being recognized, including necrotizing soft tissue infections (NSTIs). NSTIs require rapid surgical intervention but can be challenging to diagnose, as skin manifestations may be difficult to differentiate from normal post-SAL changes. We present a case of a 44-year-old female who presented with signs of septic shock after SAL of her abdomen and back. She was ultimately found to have an NSTI of her abdominal wall, likely due to perforated viscus that occurred as a complication of her procedure. This case demonstrates the significance of recognizing NSTIs as a potential complication of SAL in ill-appearing patients with non-specific symptoms and septic shock.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Necrotizing Soft Tissue Infection and Perforated Viscus After Suction-Assisted Lipectomy

Fuente

Ferdinand

Dybas

et al. 2020

Cureus

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“…It requires extensive, repetitive debridement, and appropriate antimicrobial scheme. The most common germ is Streptococcus pyogenes [80].…”

Section: Surgical Infectionsmentioning

confidence: 99%

Perioperative Complications in Plastic Surgery

Whizar-Lugo¹,

Campos-León²,

AlejandroMoreno-Guillen³

2019

Anesthesia Topics for Plastic and Reconstructive Surgery

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Anesthetic complications in the perioperative period in plastic surgery are extremely rare, although they can be catastrophic and sometimes fatal. The proper selection and correct preoperative assessment of patients are the key to stay away from unwanted events. Preanesthesia evaluation is mandatory in each patient and must include clinical history, complete physical examination, and routine and special laboratory tests in patients with associated pathologies. Anesthetic management is based on these results, type of surgery, experience of the anesthesiologist, and the operating environment. The anesthetic technique can be local, regional, or general with standard noninvasive monitoring. It is recommended that an anesthesiologist be present in all plastic surgery procedures. Complications are usually the result of moving away from the guidelines already established for an excellent practice or the result of sentinel events rather than human errors. Pulmonary embolism is probably the most feared complication, with soft tissue infections being the most frequent complication in plastic surgery. Less common complications include arrhythmias, overhydration, allergies, bleeding, skin necrosis, dehiscence of wounds, brain damage, and dead. Anesthesiologists, surgeons, nurses, and all personnel involved in the care of these patients must work as a team of highly qualified and updated professionals.

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Complications Following Body Contouring: Performance Validation of Bard, a Novel AI Large Language Model, in Triaging and Managing Postoperative Patient Concerns

Abi-Rafeh,

Mroueh,

Bassiri-Tehrani

et al. 2024

Aesth Plast Surg

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Necrotizing Fasciitis in Aesthetic Surgery: A Review of the Literature

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cited by 30 publications

References 47 publications

Necrotizing Soft Tissue Infection and Perforated Viscus After Suction-Assisted Lipectomy

Necrotizing Soft Tissue Infection and Perforated Viscus After Suction-Assisted Lipectomy

Perioperative Complications in Plastic Surgery

Complications Following Body Contouring: Performance Validation of Bard, a Novel AI Large Language Model, in Triaging and Managing Postoperative Patient Concerns

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