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Hyperbaric oxygen therapy improves outcome of snake envenomation:tertiary center experience

Plastic and Aesthetic Research 2016年第1期3卷 59-63页

作者： Pradeoth Korambayil Mukundan Prashanth Varkey Ambookan Ragu Angappan Department of Plastic Surgery Jubilee Institute for Surgery of HandAesthetic and MicrosurgeryThrissur 680005KeralaIndia Department of Plastic Surgery Sushruta Cosmetic and Laser Surgery CentreCoimbatore 641004Tamil NaduIndia.

Aim:Snakebite injuries of the extremities are common in tropical India among those involved in farming and outdoor *** injuries often complicated by cellulitis,gangrene,regional lymphadenopathy,compartment syndrome,bleeding abnormalities,septicemia,hypotension,and disseminated intravascular coagulation,resulting in significant morbidity and *** purpose of the study is to share our experience of hyperbaric oxygen(HBO)therapy in the management of snakebite ***:All patients who were treated for snakebite injuries in our department between October 2012 and October 2013 were included in the ***:Out of a total 395 patients,174 patients treated with anti-snake venom with a mortality of 17 ***-four out of the 174 patients was in the pediatric age *** of the patients referred to our department,23 presented with cellulitis,7 with compartment syndrome and 17 for the management of soft tissue cover over the *** the 47 patients,30 involved the lower extremity and rest involved the upper *** patients were subjected to HBO therapy as an *** patients required flap cover:cross finger flap(n=2),anterolateral thigh free tissue transfer(n=1),lateral supramalleolar flap(n=1),groin flap(n=1),and dorsal metacarpal artery flap(n=1).There was no need for fasciotomy among the patients who suffered impending compartment ***:HBO therapy may reduce the incidence of fasciotomy and increase the effectiveness of plastic surgical modalities if administered early and may be used as a useful adjunct in the management of snake envenomation injury.

关键词： Hyperbaric oxygen therapy snake bite injury soft tissue reconstruction upper and lower extremity

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