Our clinical experience in the treatment of snakebites

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dc.authorscopusid6602559812
dc.authorscopusid56012788100
dc.authorscopusid8230110300
dc.authorscopusid57225772333
dc.contributor.authorErtem K.
dc.contributor.authorEsenkaya I.
dc.contributor.authorKaygusuz M.A.
dc.contributor.authorTuran C.
dc.date.accessioned2024-08-04T20:00:37Z
dc.date.available2024-08-04T20:00:37Z
dc.date.issued2005
dc.departmentİnönü Üniversitesien_US
dc.description.abstractOBJECTIVES: We evaluated the results of medical and surgical treatment for venomous snakebites and reviewed current principles of first aid and therapy for affected patients. METHODS: Fourteen venomous snakebite victims (8 males, 6 females; mean age 22 years; range 7 to 75 years) were enrolled in the study. Six patients received medical treatment alone, while eight patients required both medical and surgical treatments. Injury was in the upper and lower extremities in nine and five patients, respectively. Fasciotomy was performed in seven patients due to ensuing compartment syndrome, which was manifest with extreme swelling in the affected extremity and severe pain on passive stretching of the muscles at the site of the lesion. Fasciotomy site was primarily closed in three patients, whereas four patients required debridement and skin grafting. One patient, who developed necrosis due to an excessively tight tourniquet at the time of first aid, underwent amputation of the third finger at the level of the middle phalanx. The mean follow-up was 11.5 months (range 3 to 30 months). RESULTS: Following fasciotomy, a long incision line remained in all the patients and a marked scar tissue due to skin grafting, which were associated with flexion contracture deformities in two elbows (35 and 105 degrees). Hemopericardium detected in one patient was dealt with by medical treatment. The mean length of hospital stay was 11.3 days for medically treated patients, and 18.2 days following surgical treatment. No incidence of late serum disease or mortality was encountered. CONCLUSION: Management of snakebite victims include an appropriate first aid and treatment at the hospital; identification of compartment syndrome through clinical means and measurements should lead to an indication for fasciotomy.en_US
dc.identifier.endpage58en_US
dc.identifier.issn1017-995X
dc.identifier.issue1en_US
dc.identifier.pmid15805755en_US
dc.identifier.scopus2-s2.0-20844451901en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage54en_US
dc.identifier.urihttps://hdl.handle.net/11616/90862
dc.identifier.volume39en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isotren_US
dc.relation.ispartofActa orthopaedica et traumatologica turcicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectsnake venomen_US
dc.subjectvenom antiserumen_US
dc.subjectadolescenten_US
dc.subjectadulten_US
dc.subjectageden_US
dc.subjectanimalen_US
dc.subjectarticleen_US
dc.subjectchilden_US
dc.subjectcompartment syndromeen_US
dc.subjectemergency treatmenten_US
dc.subjectevaluationen_US
dc.subjectfemaleen_US
dc.subjecthumanen_US
dc.subjectincidenceen_US
dc.subjectlimben_US
dc.subjectmaleen_US
dc.subjectmethodologyen_US
dc.subjectmiddle ageden_US
dc.subjectpathologyen_US
dc.subjectsnakeen_US
dc.subjectsnakebiteen_US
dc.subjecttreatment outcomeen_US
dc.subjectTurkey (republic)en_US
dc.subjectAdolescenten_US
dc.subjectAdulten_US
dc.subjectAgeden_US
dc.subjectAnimalsen_US
dc.subjectAntiveninsen_US
dc.subjectChilden_US
dc.subjectCompartment Syndromesen_US
dc.subjectEmergency Treatmenten_US
dc.subjectExtremitiesen_US
dc.subjectFemaleen_US
dc.subjectHumansen_US
dc.subjectIncidenceen_US
dc.subjectMaleen_US
dc.subjectMiddle Ageden_US
dc.subjectSnake Bitesen_US
dc.subjectSnake Venomsen_US
dc.subjectSnakesen_US
dc.subjectTreatment Outcomeen_US
dc.subjectTurkeyen_US
dc.titleOur clinical experience in the treatment of snakebitesen_US
dc.title.alternativeYilan sokmalarinin tedavisinde klinik deneyimimiz.en_US
dc.typeArticleen_US

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