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causing necrosis of the soft tissue and fascia. The incidence of NF is 0.4/ 100,000.1 NF has a high mortality rate so it is needed an early diagnosis and proper treatment. NF has multiple names such as gangrenous erysipelas, progressive bacterial synergistic gangrene, non-clostridial gas gangrene, hemolytic streptococcal gangrene, non-clostridia crepitate cellulites, bacterial synergistic gangrene, necrotizing cellulites, and phagedena gangrenosum. Wilson was the one who first described it in 1952.2 NF has two types: Type 1 NF is the most frequent form and caused by aerobic and anaerobic microorganism. Type 2 NF is caused by monoclonal microorganism beta hemoliytic streptococcus or Group A streptococcus. There are several risk factors for NF. These are diabetes mellitus, surgery, malignancy, obesity, trauma, old age, chronic skin infection, and immune system deficiency. NF presents as painful, discoloration of the skin and a black necrotic tissue at the wound area. Ischemia and tissue necrosis can develop and local anaesthesia can occur because of the nerve damage.3 Generally immediate surgical debridement would be necessary due to the high mortality rate. In some conditions, abdominal wall integrity cannot be ensured. Negative pressure wound therapy (NPWT) can be used for the management of wounds. NPWT can be combined with split thickness skin graft (STSG) for reconstruction.4 In this case, the patient suffered from type 1 NF caused by Pseudomonas aeruginosa, Klebsiella pneumoniae. We would like to demonstrate how to reconstruct an open abdominal wall after an endometrial carsinoma surgery with NPWT and STSG. J Clin Obstet Gynecol. 2020;30(3):113-7

How to Reconstruct an Open Abdominal Wall After Necrotizing Fasciitis?: Surgical Management in Difficult Cases