Bipedicled deep inferior epigastric perforator flap reconstruction in necrotising fasciitis following implantable contraceptive device insertion
Loading...
Files
Published Version
Date
2026-05-09
Authors
Msellati, Augustin
Christodoulides, Natasha
Dorairaj, Jemima
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier BV
Published Version
Abstract
Summary: Necrotising Fasciitis (NF) is a severe infection leading to the destruction of muscle fascial compartments and overlying soft tissue. These infections arise following the direct disruption to one’s skin integrity, with large proportion of these infections due to group A streptoccous (GAS). These infections often lead to extensive tissue defects rendering reconstruction challenging.
This report looks at the first recorded case of necrotising fasciitis following insertion of an implantable contraceptive device. In this case of GAS NF, reconstruction with a bipedicled deep inferior epigastric perforator flap was performed to achieve coverage of a large soft tissue defect of the left upper limb. This method of reconstruction allowed for complete coverage of the wound, despite its extensive size, all while providing good function of the limb and an aesthetically pleasing result.
Description
Keywords
Necrotising fasciitis , Group A streptococcus , Deep inferior epigastric perforator flap , Reconstruction , [Dental]
Citation
Msellati, A., Christodoulides, N. and Dorairaj, M.J. (2026) “Bipedicled deep inferior epigastric perforator flap reconstruction in necrotising fasciitis following implantable contraceptive device insertion,” JPRAS Open, 50, (5pp), https://doi.org/10.1016/j.jpra.2026.05.009.