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05 January 2026 : Case report  Poland

Healing Beyond the Operating Room: Bedside Strategies for Necrotizing Fasciitis

Challenging differential diagnosis, Unusual setting of medical care

Gabriela Kot ORCID logo ABDEF 1*, Łukasz Świątek ORCID logo DEF 1,2, Tomasz Banasiewicz ORCID logo ACF 3

DOI: 10.12659/AJCR.949754

Am J Case Rep 2026; 27:e949754

Figure 3 Bedside management and healing progression in abdominal necrotizing fasciitis. (A) Initial presentation of necrotizing fasciitis, showing rapidly progressing necrotic lesions and blisters on the abdominal wall. (B) Post-debridement wound, revealing extensive tissue loss down to the fascia after surgical removal of necrotic skin and adipose tissue. (C) Initiation of negative pressure wound therapy. (D) Use of an elastomeric infusion pump administering hypochlorous acid solution for targeted wound irrigation. (E, F) Progression of wound healing with gradual approximation of wound edges using anti-dehiscence sutures and kinesiotaping. (G) Complete wound closure at the 3-month follow-up, demonstrating successful bedside management of necrotizing fasciitis.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923