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The management of pit viper envenomation of the hand.
MedLine Citation:
PMID:  18780013     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Mehmet Bozkurt; Yalcin Kulahci; Fatih Zor; Emin Kapi
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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:  -    
Affiliation:
Department of Plastic and Reconstructive Surgery, Dicle University, 21280 Diyarbakir, Turkey. drmbozkurt@yahoo.com
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