Abstracting and Indexing

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Necrotizing Fasciitis (NF) is a fast-growing infection of the body’s soft tissue marked by widespread tissue death and signs of toxicity. The usual reason for RBC after trauma or a weakened immune system, but this condition rarely happens as a laparoscopic cholecystectomy side effect. We describe the elective laparoscopic operation performed on a 42-year-old obese lady with diabetes from rural Bihar because she was having symptoms of cholelithiasis. Two days after the surgery, there was high fever, great discomfort in her right abdomen wall, redness and crepitus around the trocar site. The patient’s condition worsened right away which prompted a fast evaluation. Tests showed subcutaneous gas and increased inflammatory markers. CT imaging with contrast dye found necrotizing fasciitis in the patient. The nurse rushed the patient to surgery and on evaluation, it was recognized that there was substantial necrosis of the deep tissue. A variety of antibiotics, critical care, many debridements and VAC treatment were all used. After being in the hospital for 21 days, the patient needed skin grafts to cover the open second wound. It reminds us that we should always have a strong suspicion for NF in patients after laparoscopic surgeries, more so in patients who are at risk. Spotting the condition and operating fast increases a patient’s chances of survival.