Effectiveness of early fasciotomy in the management of snakebites

dc.authorwosidFirat, Cemal/D-1292-2012
dc.contributor.authorFirat, Cemal
dc.contributor.authorErbatur, Serkan
dc.contributor.authorAytekin, Ahmet Hamdi
dc.contributor.authorKilinc, Hidir
dc.date.accessioned2024-08-04T20:36:11Z
dc.date.available2024-08-04T20:36:11Z
dc.date.issued2012
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBACKGROUND The purpose of this study was to emphasize that early fasciotomy performed in the treatment of snakebites in the absence of the classic compartment syndrome criteria accelerates the clinical recovery and reduces the progressive tissue damage. METHODS Fourteen patients with snakebite were examined retrospectively. Five of them healed with routine treatments. Six patients who did not respond to the treatment underwent early fasciotomy procedure in 48 hours. All of the patients had edema, pain, ecchymosis, bulla formation, and progressive skin necrosis over the extremity. Fasciotomy was performed in three patients who were referred in the late period with compartment syndrome. Fasciotomy incisions were closed after 4-6 days. RESULTS After the early fasciotomy, edema diminished rapidly, the skin became more viable and local necrosis did not progress. Further, the toxic symptoms like local temperature increase and fever also diminished. The healing process in the three patients who underwent late fasciotomy was much slower compared with the early fasciotomy group. In particular, necrosis on the muscle and skin had deteriorated. CONCLUSION Fasciotomy has a special place in snakebites. In cases of compartment syndrome, all necessary treatments including early fasciotomy should be performed before the full clinical symptoms develop or the compartment pressure reaches the threshold value.en_US
dc.identifier.doi10.5505/tjtes.2012.28158
dc.identifier.endpage423en_US
dc.identifier.issn1306-696X
dc.identifier.issue5en_US
dc.identifier.pmid23188603en_US
dc.identifier.scopus2-s2.0-84867916308en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage417en_US
dc.identifier.urihttps://doi.org/10.5505/tjtes.2012.28158
dc.identifier.urihttps://hdl.handle.net/11616/95829
dc.identifier.volume18en_US
dc.identifier.wosWOS:000310721500008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isotren_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectFasciotomyen_US
dc.subjectcompartment syndromeen_US
dc.subjectsnakebitesen_US
dc.titleEffectiveness of early fasciotomy in the management of snakebitesen_US
dc.typeArticleen_US

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