Volume : VIII, Issue : I, January - 2018

Analysis of Reconstructive Procedures in Snake Bite

Dr. K. Boopathi, Dr. V. Govindaraj

Abstract :

 

The aim is to analyses the reconstructive procedure among snake envenomation patients to preserve and restore the soft tissue integrity, anatomy and function of foot and hand    

Materials and Methods

This is a prospective observational study from a tertiary care institute. Clinical presentation, type of envenomation, reconstructive procedures required, duration of hospital stay, surgical intervention and final outcome were studied. This study was undertaken after ethical committee approval and informed consent. In this study 24 males & females were included, 15 were children and 9 were adult ,71% were neurotoxic and 69% had local envenomation. Compartment syndrome was encountered in 7 patients (37.14%). Shortening and closure of the middle finger at DIP joint was done in one patient. Initial fasciotomy with subsequent wound deidement was done in 8 patients. Split thickness skin grafting was done in 14 patients. Flap cover done for 9 patients. Split thickness skin grafting and Flap cover done for 2 patients. 36% of patients with neurotoxic envenomation and 54% with local envenomation and 16% with hemotoxic envenomation required surgical intervention

Conclusion:

 Patient with snake envenomation needs stable and durable cover. Reconstructive option should be tailored according to the patients’ requirement.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.K.Boopathi, Dr.V.Govindaraj, Analysis of Reconstructive Procedures in Snake Bite, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-1 | January-2018

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