{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T05:30:03Z","timestamp":1790400603118,"version":"4.1.0"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,2,20]],"date-time":"2022-02-20T00:00:00Z","timestamp":1645315200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,2,20]],"date-time":"2022-02-20T00:00:00Z","timestamp":1645315200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,2,20]],"date-time":"2022-02-20T00:00:00Z","timestamp":1645315200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003503","name":"Nederlandse Brandwonden Stichting","doi-asserted-by":"publisher","award":["17.109"],"award-info":[{"award-number":["17.109"]}],"id":[{"id":"10.13039\/501100003503","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003503","name":"Nederlandse Brandwonden Stichting","doi-asserted-by":"publisher","award":["17.109"],"award-info":[{"award-number":["17.109"]}],"id":[{"id":"10.13039\/501100003503","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Necrotizing soft tissue infections (NSTI) affect long\u2010term quality of life in survivors. Different approaches to debridement may influence quality of life. The aim of this study was to assess the current practice of the debridement of NSTI in the Netherlands.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An animated, interactive online survey was distributed among general surgeons and plastic surgeons in the Netherlands. Two NSTI\u2010cases were presented, followed by questions regarding the preferred surgical approach. Case one described a woman with a swollen, red leg, with signs of sepsis and without visible necrosis. Case two described an immunocompromised man with septic shock syndrome and extensive necrosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total 232 responses were included (143 general surgeons, 89 plastic surgeons). In case one, 32% chose to preserve all skin, while 17% chose to resect all skin above the affected fascia, including normal\u2010looking skin. In case two, all participants resected necrotic skin, and most (88%) also blue discolored skin. While 32% did not resect more than blue discolored and necrotic skin, 35% also resected red\u2010colored skin, and 21% all skin overlying the affected fascia, including normal colored skin. Respondents working in a hospital with a burn center tended to preserve more skin, whereas plastic surgeons chose more often for skin resection compared to general surgeons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>By using a novel approach to a survey, the authors demonstrate the existence of extensive practice variety regarding the approach to debridement of NSTI among Dutch general and plastic surgeons. Consensus is needed, followed by targeted education of surgeons.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00268-022-06470-8","type":"journal-article","created":{"date-parts":[[2022,2,20]],"date-time":"2022-02-20T17:02:30Z","timestamp":1645376550000},"page":"1051-1058","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Approaches to Surgical Debridement in Necrotizing Soft Tissue Infections: Outcomes of an Animated, Interactive Survey"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7379-3900","authenticated-orcid":false,"given":"Jaco","family":"Suijker","sequence":"first","affiliation":[{"name":"Burn Center Red Cross Hospital Vondellaan 13 1942 Beverwijk LE The Netherlands"},{"name":"Department of Plastic, Reconstructive and Hand Surgery Amsterdam Movement Sciences Amsterdam UMC, location VUmc Amsterdam Netherlands"},{"name":"Association of Dutch Burn Centers Beverwijk The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabienne A. C.","family":"Hofmans","sequence":"additional","affiliation":[{"name":"Burn Center Red Cross Hospital Vondellaan 13 1942 Beverwijk LE The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul P. M.","family":"van Zuijlen","sequence":"additional","affiliation":[{"name":"Burn Center Red Cross Hospital Vondellaan 13 1942 Beverwijk LE The Netherlands"},{"name":"Department of Plastic, Reconstructive and Hand Surgery Amsterdam Movement Sciences Amsterdam UMC, location VUmc Amsterdam Netherlands"},{"name":"Pediatric Surgical Center Emma Children\u2032s Hospital, Amsterdam UMC, location AMC Amsterdam Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huib A.","family":"Cense","sequence":"additional","affiliation":[{"name":"Department of Surgery Red Cross Hospital Beverwijk The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. Jaap","family":"Bonjer","sequence":"additional","affiliation":[{"name":"Department of Surgery Amsterdam University Medical Center Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annebeth Meij\u2010de","family":"Vries","sequence":"additional","affiliation":[{"name":"Burn Center Red Cross Hospital Vondellaan 13 1942 Beverwijk LE The Netherlands"},{"name":"Pediatric Surgical Center Emma Children\u2032s Hospital, Amsterdam UMC, location AMC Amsterdam Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1600673"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1749\u20107922\u20109\u201057"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2017.05.011"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu296"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2009.012"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e31821cb246"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000176257.22583.4b"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2017.03.009"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2018.01.035"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2019.07.097"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0885066612463680"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2016.01.008"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2021.03.001"},{"key":"e_1_2_8_15_1","unstructured":"Federatie Medisch Specialisten.Richtlijn Necrotiserende wekedeleninfecties. 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