The use of Integra® for abdominal reconstruction after a necrotizing fasciitis in a child

Abstract

Necrotizing fasciitis is a rare infection, often requiring large debridement's due to its rapid spread in the soft tissues. Reconstruction is always a challenge. We report the successful use of Integra® Dermal Regeneration Template, combined with Negative Pressure Wound Therapy and thin skin grafts, and a local flap, to reconstruct the abdominal skin in a 7-year-old boy who developed a necrotizing fasciitis after a trauma with his scooter. Stable coverage was achieved, without skin retraction and with a preserved range of motion at 1-year post-operatively.

Keywords

• Necrotizing fasciitis
• Integra®
• Dermal regeneration template system
• Matrix
• Negative pressure wound therapy
• Debridement