Emergency definitive reconstruction of a necrotising fasciitis thigh debridement defect with a pedicled TRAM flap

摘要

INTRODUCTIONNecrotising fasciitis (NF) is a rare, severe, rapidly progressing and life-threatening synergistic infection primarily affecting the superficial fascia. A novel method of definitive and aesthetic reconstruction of NF thigh defects by using a pedicled transverse rectus abdominis myocutaneous (TRAM) flap without recourse to temporising skin grafts is presented.