Surgical implications of snakebites.

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dc.contributor.authorChattopadhyay, Anindyaen_US
dc.contributor.authorPatra, Rishab Deven_US
dc.contributor.authorShenoy, Vijayaen_US
dc.contributor.authorKumar, Vijayen_US
dc.contributor.authorNagendhar, Yogaen_US
dc.date.accessioned2004-05-28en_US
dc.date.accessioned2009-05-30T13:05:50Z
dc.date.available2004-05-28en_US
dc.date.available2009-05-30T13:05:50Z
dc.date.issued2004-05-28en_US
dc.description.abstractOBJECTIVE: Snakebites are a common problem in the pediatric age group. Local complications such as necrosis and compartment syndrome threaten limb survival even after control of systemic manifestations. Few recommendations exist about the nature and timing of surgical treatment. METHODS: A retrospective review of all children with snakebites presenting to the hospital was undertaken over a 6-year period. Records were reviewed with special emphasis on the type of surgical lesions seen and the treatment offered and their results. RESULTS: 44 of the 58 children required some form of local therapy. In the majority conservative treatment was successful. 28% of the patients needed debridement for local necrosis, and only 5 needed a skin graft, with good functional results over a period of 1 to 45 days. One child underwent an above knee amputation. Patients who required surgical intervention received significantly more vials of antivenin. CONCLUSION: Local complications of snakebite are frequent, but can be managed conservatively. Delayed excision of the resultant local necrosis is associated with good outcomes. The need for fasciotomy is rare.en_US
dc.description.affiliationDepartment of Pediatric Surgery, Kasturba Medical College, Manipal, Karnataka, India. achattopadhyay@yahoo.comen_US
dc.identifier.citationChattopadhyay A, Patra RD, Shenoy V, Kumar V, Nagendhar Y. Surgical implications of snakebites. Indian Journal of Pediatrics. 2004 May; 71(5): 397-9en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/81346
dc.language.isoengen_US
dc.source.urihttps://medind.nic.in/icb/icbai.shtmlen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAnimalsen_US
dc.subject.meshAnti-Bacterial Agents --therapeutic useen_US
dc.subject.meshAntivenins --therapeutic useen_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshCombined Modality Therapyen_US
dc.subject.meshDebridement --methodsen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshIndiaen_US
dc.subject.meshMaleen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshRisk Assessmenten_US
dc.subject.meshSeverity of Illness Indexen_US
dc.subject.meshSkin Transplantation --methodsen_US
dc.subject.meshSnake Bites --diagnosisen_US
dc.subject.meshSnake Venoms --adverse effectsen_US
dc.subject.meshTreatment Outcomeen_US
dc.subject.meshWound Healing --physiologyen_US
dc.titleSurgical implications of snakebites.en_US
dc.typeJournal Articleen_US
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