Document Detail

The management of pit viper envenomation of the hand.
MedLine Citation:
PMID:  18780013     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Snakebites are common among the rural population of developing countries. The severity of venomous snakebites depends on several factors, including the location of the bite, the amount of venom injected, and the effectiveness of the initial therapy. Snakebites frequently occur in the extremities with approximately two thirds of envenomations occurring in the upper extremities. In this study, we presented 12 cases of hand reconstruction after Vipera snakebites and discussed how to minimize functional loss and maximize hand rehabilitation. Twelve patients bitten by Vipera between 2001 and 2006 were included in this study. Groin flaps were performed in three cases, full-thickness grafts in two cases, thenar flaps in three cases, and cross finger flaps in three cases. With medical management, spontaneous healing occurred in one case. We prefer to use flaps on the volar site of the hand and, if the bone is not exposed, full-thickness grafts on the dorsal site of the hand. We also recommend starting rehabilitation of the hand early.
Mehmet Bozkurt; Yalcin Kulahci; Fatih Zor; Emin Kapi
Related Documents :
22956963 - Neuroblastoma in the elderly and siadh: case report and review of the literature.
17578533 - Bilateral painful idiopathic ophthalmoplegia: a case report.
421503 - Halo congenital nevus.
Publication Detail:
Type:  Journal Article     Date:  2008-05-28
Journal Detail:
Title:  Hand (New York, N.Y.)     Volume:  3     ISSN:  1558-9447     ISO Abbreviation:  Hand (N Y)     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-18     Completed Date:  2010-06-25     Revised Date:  2010-09-21    
Medline Journal Info:
Nlm Unique ID:  101264149     Medline TA:  Hand (N Y)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  324-31     Citation Subset:  -    
Department of Plastic and Reconstructive Surgery, Dicle University, 21280 Diyarbakir, Turkey.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Salvage of a thumb replant using a bilobed dorsal metacarpal artery island flap: case report and lit...
Next Document:  Stabilization of the proximal ulnar stump after the darrach or sauvé-kapandji procedure by using the...