Necrosis and Infection

Skin infection leading to cutaneous necrosis is a rare condition. The presence of an immunosuppressant state or an impaired vascular network is a risk factor associated with infection spreading and skin necrosis.

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Skin Necrosis

Luc Téot • Sylvie Meaume Sadanori Akita • William J. Ennis Veronique del Marmol Editors

Skin Necrosis

Editors Luc Téot Department of Surgery Pôle EMMBRUN Wound Healing Unit Montpellier University Hospital Montpellier France

William J. Ennis DO, MBA Division of Vascular Surgery Section of Wound Healing and Tissue University of Illinois Medical Center Chicago, IL USA

Sylvie Meaume Department of Geriatrics Wound Healing Unit Hôpital Rothschild Paris France

Veronique del Marmol Department of Dermatology Hopital Erasme Université Libre de Bruxelles Brussels Belgium

Sadanori Akita, MD, PhD Division of Plastic Surgery, Department of Developmental and Reconstructive Medicine Graduate School of Biomedical Sciences

Nagasaki University Nagasaki Japan

ISBN 978-3-7091-1240-3 ISBN 978-3-7091-1241-0 DOI 10.1007/978-3-7091-1241-0 Springer Wien Heidelberg New York Dordrecht London

(eBook)

Library of Congress Control Number: 2014959421 © Springer-Verlag Wien 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher's location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

Contents

Part I

1

2

3

Definitions, Vascular and Imaging Investigations in Skin Necrosis

Dry Necrosis, Wet Necrosis: When to Debride, When Not to Debride . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Luc Téot and S. F