Fabienne A. C. Hofmans
Current Organizations / Institutes
The organizations/institutes from the scholar's latest article
Research Subjects
Fabienne A. C. Hofmans has a total of 5 co-authors. Here are the top co-authors by number of shared publications:
- Annebeth Meij-De Vries
Alliance of Dutch Burn Care, Burn Center Beverwijk, Red Cross Hospital, Vondellaan 13, 1942 LE Beverwijk, The Netherlands
1 shared publication - Hendrik Jaap Bonjer
Department of Surgery, VU university medical center, Amsterdam, the Netherlands
1 shared publication - Huib A. Cense
Department of Surgery, Red Cross Hospital, Beverwijk, the Netherlands
1 shared publication - Jaco Suijker
Burn Centre, Red Cross Hospital, Beverwijk, the Netherlands
1 shared publication - Paul P. M. van Zuijlen
Department of Plastic Reconstructive and Hand Surgery, Amsterdam UMC, Location VUmc, 1081 HZ Amsterdam, The Netherlands
1 shared publication
Latest Publications
- Open Access
- 20 February 2022
- Published by Wiley in World Journal of Surgery
- Vol. 46 (5) , 1051-1058
Approaches to Surgical Debridement in Necrotizing Soft Tissue Infections: Outcomes of an Animated, Interactive Survey
Background: Necrotizing soft tissue infections (NSTI) affect long‐term 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.Methods: An animated, interactive online survey was distributed among general surgeons and plastic surgeons in the Netherlands. Two NSTI‐cases 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.Results: 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‐looking 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‐colored 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.Conclusions: 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.
- 20 February 2022
- Published by Wiley in World Journal of Surgery
- Vol. 46 (5) , 1051-1058
Open AccessApproaches to Surgical Debridement in Necrotizing Soft Tissue Infections: Outcomes of an Animated, Interactive Survey
Background: Necrotizing soft tissue infections (NSTI) affect long‐term 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.Methods: An animated, interactive online survey was distributed among general surgeons and plastic surgeons in the Netherlands. Two NSTI‐cases 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.Results: 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‐looking 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‐colored 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.Conclusions: 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.