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Re: Necrotizing fasciitis post Cesarean From: Anna Meenan, MD (annam@uic.edu) Fri Sep 23 20:29:01 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Necrotizing fasciitis post Cesarean" Previous message: art fougner, md: "Re: Necrotizing fasciitis post Cesarean" In reply to: art fougner, md: "Re: Necrotizing fasciitis post Cesarean" Next in thread: Dr Eberhard W Lisse: "Re: Necrotizing fasciitis post Cesarean" It was a planned elective c-section. If she was in labor, it was not for very long, as the baby was born just a few hours after she arrived at the hospital. And for those of you (Joe) who think that otherwise healthy, middle class, normal-weight people don't get NF after clean surgeries or trivial skin breaks, check this out: http://www.nnff.org/ -- Anna Meenan, MD At Fri, 23 Sep 2005, art fougner, md wrote: > >Was Mrs. Federline in labor? > >art > >At Fri, 23 Sep 2005, Anna Meenan, MD wrote: >> >>OK, the first thing that popped into my head when I read this was this: >>What would the fallout be if this had happened to Brittany Spears after >>her recent elective primary c-section? Something to think about for >>those of you who do elective primaries. >> >>-- >> Anna Meenan, MD >> >>At Fri, 23 Sep 2005, RModugno@aol.com wrote: >>> >>>Recent scary case: >>> >>>19 year old Black primigravida, weight 190 lbs ,GBS negative, had C/S in >>>labor for breech. No history of diabetes. >>>Benign post -partum course. >>>Presents to ER 12 days post-partum with foul-smelling "dishwater discharge" >>>from left lateral end of wound and edema of the left abdominal wall up to >>>axilla. >>> >>>CT Scan reveals - normal post cesarean uterus and adnexa with gas in the >>>anterior abdominal wall consistent with clinical fiidings >>>First thought: call general surgeon! >>> >>>Seen by general surgeon(trained at Charity, NOLA!). >>> >>>Wound "fileted" in OR - necrotizing fasciitis. Hockey stick incisionn over >>>section wound and up left side. to left rib cage. Wound debrided. Has had third >>> debriding in OR- now has wound vac in place and tissue looking pink. I think >>>we have turned the corner! I'm holding my breath. >>>Cultures: mixed aerobes anerobes, staph, strep. >>>Dealt with plenty of wound infections in South Africa and in the USA, but >>>nothing like this. >>> >>>Robert Modugno MD MBA FACOG >>>Marietta, GA >> >-- >art fougner, md > > "If you don't know where you are going, you will wind up somewhere else." >Lawrence Peter Berra > Next message: DoctorJoe@aol.com: "Re: Necrotizing fasciitis post Cesarean" Previous message: art fougner, md: "Re: Necrotizing fasciitis post Cesarean" In reply to: art fougner, md: "Re: Necrotizing fasciitis post Cesarean" Next in thread: Dr Eberhard W Lisse: "Re: Necrotizing fasciitis post Cesarean"

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