Evidence map›Paper›PMID 40770721›Full record

ArticleWorld journal of emergency surgery : WJES2025

Multiple skip incision skin-sparing debridement for perianal necrotizing fasciitis: a retrospective study.

Qing Long, Chaochi Yue, Bin He, Jun Li

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PubMed Full text at PMC Publisher
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Article in World journal of emergency surgery : WJES, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Qing LongDepartment of Anorectal Surgery, The Affiliated Hospital, Southwest Medical University, No. 25 Taiping Street, Jiangyang District, Luzhou, Sichuan, 646000, China.
Chaochi YueDepartment of Anorectal Surgery, The Affiliated Hospital, Southwest Medical University, No. 25 Taiping Street, Jiangyang District, Luzhou, Sichuan, 646000, China.
Bin HeDepartment of Anorectal Surgery, The Affiliated Hospital, Southwest Medical University, No. 25 Taiping Street, Jiangyang District, Luzhou, Sichuan, 646000, China.
Jun LiDepartment of Anorectal Surgery, The Affiliated Hospital, Southwest Medical University, No. 25 Taiping Street, Jiangyang District, Luzhou, Sichuan, 646000, China. ljadoctor@swmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimMultiple skip incision skin-sparing debridement (MSISSD) is a surgical procedure that excises infected tissue to achieve source control while retaining the infected but viable skin, thus overcoming some limitations of traditional surgical debridement. We aimed to introduce this skin-sparing debridement technique for the treatment of perianal necrotizing fasciitis (PNF) and retrospectively analyze its efficacy and safety.

methodsPatients with PNF who received MSISSD between January 2021 and August 2024 were included in this retrospective analysis. We investigated the patient characteristics (sex, age, disease duration, and LRINEC score) and clinical data (comorbid diseases, length of stay in the intensive care unit [ICU LOS], microbiological culture results, number of debridements, length of stay [LOS], wound healing time, treatment outcomes, and follow-up status).

resultsTwenty-two patients with PNF were enrolled, including 19 males (86%) and three females (14%). The median age, disease duration, and LRINEC score was 59.5 years (range: 26-77), 4.5 days (range: 2-10), and 4 (range: 1-10), respectively, and five cases had a LRINEC score ≥ 6 (23%). Among the 22 patients included, the most common comorbid disease was diabetes, with nine cases (41%). Nine (41%) patients were admitted to the ICU, with a median ICU LOS of 2 days. Of the patients with positive wound cultures (14, 64%), polymicrobial infections were identified in 3 (21%) and monomicrobial infections in 11 (79%). The most commonly isolated microorganisms were Escherichia coli (8, 57%) and Klebsiella pneumoniae (5, 36%). One patient underwent debridement twice, while the remaining patients underwent debridement once. The median LOS was 18 days, and the wound healing time was 61 days. No patient underwent reconstruction surgery. During the median follow-up period of 11 months, one patient developed anal fistula 6 months after surgery and recovered after undergoing anal fistula resection. No patient experienced recurrence of PNF or anal incontinence.

conclusionMSISSD appears to be a promising and effective method for skin protection debridement, which can effectively protect the skin while ensuring adequate drainage, and rarely causing severe anal dysfunction.

Indexed as

DebridementFasciitis, NecrotizingAdultAgedFemaleHumansLength of StayMaleMiddle AgedRetrospective StudiesTreatment OutcomeWound HealingMultiple skip incisionsPerianal necrotizing fasciitis (PNF)Skin-sparing debridement

Identifiers

PMID40770721
PMCPMC12326778

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.