Necrotizing Fasciitis of the Left Groin

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Patient History

Patient presented to the emergency department with symptoms of necrotizing fasciitis of the left groin. Patient has a past medical history of obesity and diabetes mellitus.

Treatment

Patient was taken to the operating room for three separate rounds of irrigation and debridement (I&D) prior to Restrata MiniMatrix™ application to ensure all necrotic/infected tissue was removed.* Following the third surgical debridement, MiniMatrix was applied to the soft-tissue defect. A non-adherent dressing was placed over MiniMatrix and standard negative pressure wound therapy (NPWT) protocol was utilized following application. Four days after the initial application, a second application of MiniMatrix was performed due to high levels of exudate throughout the wound bed. NPWT was changed every 5-7 days to properly manage exudate levels in the wound.

Conclusion

Three weeks following initial MiniMatrix application, a healthy bed of granulation tissue began to form throughout the wound bed. A gradual healing progression was observed and the defect reached full closure via secondary intention. There were zero complications noted throughout the healing process.

Initial Debridement

Day 0

First application of Restrata MiniMatrix post I&D

Day 4

Second MiniMatrix application

Day 7

Week 3

Week 5

Week 7

Week 12

Continued healing progression

*Infection was controlled prior to application of Restrata
Restrata has not been studied in wounds that extend into the tendon, muscle, joint capsule, or bone. Restrata should not be applied in any case until excessive exudate, bleeding, acute swelling, and infection is controlled. Please refer to the Instructions for Use for a full list of indications, contraindications, precautions, and warnings.

MKG-30169-00

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