Complicaciones de la necrosis infectada de tejidos blandos. #cirujano #cirugía #necrosisinfectadatejidosblandos NSTI is an increasingly common problem, often characterized by progressive and potentially fatal soft tissue infection that requires prompt, radical, and often multiple surgical debridement of all involved tissue. Early diagnosis of the presence of a NSTI is critical if optimal outcomes are to be achieved. Treating physicians must be familiar with the sign and symptoms of the disease and maintain a high index of suspicion. Any delay in diagnosis is potentially catastrophic, as the concomitant delay in surgical therapy significantly increases mortality. Patient care requires close coordination between surgical and critical care teams. Radical surgical debridement of all necrotic tissue remains the mainstay of treatment, and further research is required before any strong recommendations can be made about advanced adjunctive therapies. The resultant massive soft tissue defect requires special attention and can present significant challenges. Early principles of reconstruction after NSTI focuses on preservation of the skin, local wound control, and preparation for anatomically based reconstruction. This may require assistance from plastic and reconstructive surgeons in concert with strong support from rehabilitative services in the hospital and posthospital setting. Despite strong advances in critical care medicine over the last few decades, NSTIs still portend a very high case mortality rate and survivors are at a significant risk of longterm morbidity, which we are only now beginning to understand.