vulvar necrotizing fascitis is an uncommon infectious disorder. since the first reported cases almost 100 years, ago, necrotizing fasciitis continues to present a diagnostic and therapeutic challenge. what usually begins as a subtle infection can become life-threatening. we report two cases of vulvar necrotizing fasciitis, one after posterior colporrhaphy in a woman with four risk factors and t...

case presentation we describe a case of a previously healthy child who presented with sepsis due to varicella gangrenosa. while she initially responded well to a conservative antibiotic and acyclovir treatment, her subsequent rapid deterioration required urgent and repeated debridement. conclusions this report highlights the significance of prompt diagnosis and early surgical intervention for m...

the treatment of carbuncles is early administration of antibiotics and surgery. the commonest surgical approaches are saucerization, and incision and drainage (i&d;). although these two techniques are vastly different, there is a lack of evidence to determine which one produces a better outcome. three cases of carbuncles are presented to illustrate the contrasting surgical techniques and their ...

background : fourniers gangrene caused by synergic aerobic and anaerobic organism is a life threatening disorder.   methods : the medical records of 8 among 839 patients admitted to imam ali general hospital zahedan university of medical sciences with fourniers gangrene during the 10 months period between 2012 and 2013 were reviewed.   results : the most common etiology and presentation were ab...

UNLABELLED Debridement is an essential component to promote healing in a problem wound. Several techniques are available including maggot debridement therapy (MDT). OBJECTIVE To describe the efficacy of MDT for treating problem wound especially diabetic foot ulcers. METHODS The topic is elucidated from different points of view: the mode of action, when to use, use in a practice, clinical re...

background: pancreatic anastomosis leakage and fistula formation following  pancreaticoduodenectomy (whipple’s procedure) is a common complication. delay in timely diagnosis and proper management is associated with high morbidity and mortality. to report our experience with management of pancreatic fistula following whipple’s procedure. materials and methods: in this retrospective study, medica...