Биология ва тиббиёт муаммолари 2025, №2 (159)

Subject of the article

TACTICS OF SURGICAL TREATMENT OF PATIENTS WITH NECROTISIUS FASCIITIS IN PATIENTS WITH DIABETES MELLITUS (101-104)

Authors

Matmurotov Kuvondik Jumaniyazovich, Parmanov Sarvar Anivarovich, Najmitdinova Dilnoza Ganisherovna

Institution

Tashkent Medical Academy, Republic of Uzbekistan, Tashkent

Abstract

In contemporary literature on domestic medicine, there exists a lack of adequate focus on necrotizing fasciitis, a condition characterized by significant mortality rates, prolonged hospital stays, a substantial incidence of impairment, and the necessity for reconstructive surgical procedures. Furthermore, the nomenclature associated with this condition remains ambiguous. Within the realm of terminological synonyms, the following can be identified: The conditions mentioned include progressive epifascial phlegmon, synergistic subcutaneous cellulitis, and necrotic erysipelas. Based on the available research, it is evident that the clinical progression of necrotizing fasciitis in individuals with diabetes mellitus significantly contrasts with those without diabetes mellitus.

Key words

necrotisius fasciitis, diabetes mellitus, surgical treatment.

Literature

1. Grinev M.V. Necrotizing fasciitis: pathophysiological and clinical aspects of the problem // Surgery. - 2016. - No. 5. - P. 31–37. 2. Kovanov V.V. Surgical anatomy of fasciae and cellular spaces. - M.: Medicine, 1967. - S. 30-34. 3. Kolesov A.P. Necrotizing fasciitis // Surgery. - 2015. - No. 4. - P. 105–111. 4. Adrienne J. Necrotizing soft tissue infections: a primary care review // American family physician. – 2013. – Vol. 68, N 2. – P. 323–328 5. Freischlag J. Treatment of necrotizing soft tissue infec-tions // Am. J. Surg. – 2018. – Vol. 14. – P. 751. 6. Improved results from a standardized approach in treating patients with necrotizing fasciitis / L.A. Sudarsky, J.C. Laschinger, G.F. Coppa et al. // Ann. Surg. – 2017. – Vol. 206. – P. 661–665. 7. Majeski J. Necrotizing fasciitis: improved survival with early recognition by tissue biopsy and aggressive surgical treatment // Southern Med. J. – 1997. – Vol. 90, N 11. – P. 1065–1068. 8. Meltzer D.L. Necrotizing fasciitis: a diagnostic chal-lenge // Am. Fam Physician. – 2020. – Vol. 56. – P. 145–149. 9. Necrotizing fasciitis: a dramatic surgical emergency / F. Catena, M. La Donna, L. Ansaloni et al. // Eur. J. Emerg. Med. – 2014. – Vol. 11, N 1. – P. 44–48. 10. Necrotizing fasciitis / J. Fisher, M. Convay, R. Takeshita et al. // JAMA. – 1979. – Vol. 241. – P. 803. Necrotizing fasciitis // RadioGraphics. – 2019. – Vol. 24, N 5. – P. 1472–1476. 11. Simonart T. The importance of serum creat- ine phos-phokinase level in the early diagnosis and microbiological evaluation of necrotizing fasciitis // JEADV. – 2021. – Vol. 18. – P. 687–690. 12. Ultrasonographic screening of clinically-sus- pected necrotizing fasciitis / Zui-Shen Yen, Hsiu-Po Wang, Huei-Ming Ma et al. // Acad. Emerg. Med. – 2022. – Vol. 9, N 12. – P. 1448–1451. 13. Wilson B. Necrotizing fasciitis // Am. Surg. – 2016. – Vol. 18. – P. 416–431. 14. Wong C. The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing ne-crotizing fasciitis from other soft tissue infections // Crit. Care Med. – 2014. – Vol. 32. – P. 1535–1541.