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Urgent operative management was undertaken to obtain source control and debride the significant necrotic tissue that was present.\r\nAdditionally, small bowel resection via a midline laparotomy was required as the bowel was necrotic on intraoperative evaluation. Specific management challenges included the closure of hernia defect in an infected field and the complex wound care regimen necessitated by the extent of tissue necrosis. Prompt surgical intervention, in the setting of a necrotizing soft tissue infection, is imperative to achieving a favorable outcome.<\/jats:p>","DOI":"10.31053\/1853.0605.v82.n2.45345","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T16:20:09Z","timestamp":1750954809000},"page":"409-418","source":"Crossref","is-referenced-by-count":0,"title":["Strangulated femoral hernia leading to lower extremity necrotizing soft tissue infection","Infeccion necrotizante de tejidos blandos de extremidad inferior causada por hernia crural estrangulada","Infec\u00e7\u00e3o necrotizante de tecidos moles dos membros inferiores causada por h\u00e9rnia crural estrangulada"],"prefix":"10.31053","volume":"82","author":[{"given":"Ellie","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hayes","family":"Fountain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy","family":"Trestrail","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Kronenfeld","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"Jimenez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Cubas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"12333","published-online":{"date-parts":[[2025,6,26]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1. 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Rev Med Chil."},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"2018. May;146(5):660-664. Spanish. doi: 10.4067\/s0034-98872018000500660.","DOI":"10.4067\/s0034-98872018000500660"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"9. Yonekura S, Kodama M, Murano S, Kishi H, Toyoda A. Richter's Type of Incarcerated Obturator Hernia that Presented with a Deep Femoral Abscess: An Autopsy Case Report. Am J Case Rep. 2016; 17:830-3. doi:","DOI":"10.12659\/AJCR.899791"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"10.12659\/ajcr.899791.","DOI":"10.12659\/AJCR.899791"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"10. Wong CH, Khin LW, Heng KS, Tan KC, Low CO. The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections. Crit Care Med. 2004;32(7):1535-41. doi: 10.1097\/01.ccm.0000129486.35458.7d.","DOI":"10.1097\/01.CCM.0000129486.35458.7D"},{"key":"ref12","unstructured":"11. Rajput A, Waseem, Samad A, Khanzada TW, Shaikh GM, Channa GA. Mortality in necrotizing fasciitis. J Ayub Med Coll Abbottabad. 2008;20(2):96-8. 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