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. 2023 Oct 10;18:48. doi: 10.1186/s13017-023-00516-5

Table 3.

Summary of treatments for mucocutaneous separation (MCS)

Type of treatment Indications Drawbacks
Non-operative management Superficial or small deep MCS

Risk of infections

Risk of enlargement of MCS

Patient discomfort

Emergency surgical treatment Deep MCS with signs of intra-abdominal contamination

Risk of surgical complications (infections, recurrence, ischemia)

Risk of non-surgical complications

Elective surgical treatment

Superficial MCS after failure of conservative treatment because:

circumferential MCS

sign of severe infections

severely symptomatic patients

Deep MCS without signs of intra-abdominal contamination

Risk of surgical and non-surgical complications