Ginecología y obstetricia de México
-
During the daily practice of Gynecoobstetrics there is a great relationship with anesthetic procedures. It is very important to know one of the most frequent complications of peridural blockade, as is accidental puncture of duramater. A review of this complication will be done, in order to help the physician to face this complication with an ample knowledgement, in order to be able to start opportune and adequate treatment.
-
Case Reports
[Post-cesarean necrotizing fasciitis. Bacterial synergism, or mixed infection of the soft tissues?].
It has been demonstrated recently that most of the disemminated infections of the dermis, necrotizing fascitis included are due to a mix bacteria infection working sinergistically, demonstrated by clinical studies as well as in experimental animals. Treatment based on wide spectrum antibiotics and extensive debridement of the necrotic tissue performed by a team of several specialists have diminished mortality to 10%. We report a case of necrotizing fasciitis following a cesarean section in the absence of risk factors. We discuss risk factors, classification, etiology, diagnosis and therapy in light of the current knowledge.