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Snakebite in Korea: A Guideline to Primary Surgical Management

PURPOSE: Snakebite is an emergency which causes local symptoms such as pain and edema around the bite. Systemic symptoms may also develop, such as dizziness or renal failure, and may even cause death. The purpose of this research was to assess the validity and safety of snakebite protocol for surger...

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Autores principales: Rha, Jung Ho, Kwon, Sung Min, Oh, Jin Rok, Han, Byung Keun, Lee, Kang Hyung, Kim, Jae Hyun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Yonsei University College of Medicine 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4541680/
https://www.ncbi.nlm.nih.gov/pubmed/26256993
http://dx.doi.org/10.3349/ymj.2015.56.5.1443
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author Rha, Jung Ho
Kwon, Sung Min
Oh, Jin Rok
Han, Byung Keun
Lee, Kang Hyung
Kim, Jae Hyun
author_facet Rha, Jung Ho
Kwon, Sung Min
Oh, Jin Rok
Han, Byung Keun
Lee, Kang Hyung
Kim, Jae Hyun
author_sort Rha, Jung Ho
collection PubMed
description PURPOSE: Snakebite is an emergency which causes local symptoms such as pain and edema around the bite. Systemic symptoms may also develop, such as dizziness or renal failure, and may even cause death. The purpose of this research was to assess the validity and safety of snakebite protocol for surgery when treating snakebite patients. MATERIALS AND METHODS: Retrospective research was performed on patients who were admitted after being treated at the emergency center from January 2008 to December 2012. When necessary, debridement was also performed, and 46 of 111 patients (41.4%) underwent debridement. Those who had received debridement without antivenom administration due to a positive skin reaction test were classified as group A, and group B received antivenom and delayed debridement. We reviewed the emergency and admission charts of the patients in each group and recorded and compared their age, sex, bite site, severity of local and general symptoms, time to receive antivenin, and complications. RESULTS: Of the ten patients (21.7%) in group A, two (66.6%) developed cellulites, and one of them experienced skin necrosis, resulting in a skin graft. In group B, there were 36 patients (78.2%), 19 (52.7%) of whom developed cellulitis. Skin necrosis occurred in two patients, and one of these patients received a skin graft. Compartment syndrome was found in one patient, and fasciotomy and a skin graft were performed. CONCLUSION: The treatment protocol implemented to treat snakebite patients admitted to the emergency center during this research was safely and properly followed during surgical treatment.
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spelling pubmed-45416802015-09-01 Snakebite in Korea: A Guideline to Primary Surgical Management Rha, Jung Ho Kwon, Sung Min Oh, Jin Rok Han, Byung Keun Lee, Kang Hyung Kim, Jae Hyun Yonsei Med J Original Article PURPOSE: Snakebite is an emergency which causes local symptoms such as pain and edema around the bite. Systemic symptoms may also develop, such as dizziness or renal failure, and may even cause death. The purpose of this research was to assess the validity and safety of snakebite protocol for surgery when treating snakebite patients. MATERIALS AND METHODS: Retrospective research was performed on patients who were admitted after being treated at the emergency center from January 2008 to December 2012. When necessary, debridement was also performed, and 46 of 111 patients (41.4%) underwent debridement. Those who had received debridement without antivenom administration due to a positive skin reaction test were classified as group A, and group B received antivenom and delayed debridement. We reviewed the emergency and admission charts of the patients in each group and recorded and compared their age, sex, bite site, severity of local and general symptoms, time to receive antivenin, and complications. RESULTS: Of the ten patients (21.7%) in group A, two (66.6%) developed cellulites, and one of them experienced skin necrosis, resulting in a skin graft. In group B, there were 36 patients (78.2%), 19 (52.7%) of whom developed cellulitis. Skin necrosis occurred in two patients, and one of these patients received a skin graft. Compartment syndrome was found in one patient, and fasciotomy and a skin graft were performed. CONCLUSION: The treatment protocol implemented to treat snakebite patients admitted to the emergency center during this research was safely and properly followed during surgical treatment. Yonsei University College of Medicine 2015-09-01 2015-07-29 /pmc/articles/PMC4541680/ /pubmed/26256993 http://dx.doi.org/10.3349/ymj.2015.56.5.1443 Text en © Copyright: Yonsei University College of Medicine 2015 http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Rha, Jung Ho
Kwon, Sung Min
Oh, Jin Rok
Han, Byung Keun
Lee, Kang Hyung
Kim, Jae Hyun
Snakebite in Korea: A Guideline to Primary Surgical Management
title Snakebite in Korea: A Guideline to Primary Surgical Management
title_full Snakebite in Korea: A Guideline to Primary Surgical Management
title_fullStr Snakebite in Korea: A Guideline to Primary Surgical Management
title_full_unstemmed Snakebite in Korea: A Guideline to Primary Surgical Management
title_short Snakebite in Korea: A Guideline to Primary Surgical Management
title_sort snakebite in korea: a guideline to primary surgical management
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4541680/
https://www.ncbi.nlm.nih.gov/pubmed/26256993
http://dx.doi.org/10.3349/ymj.2015.56.5.1443
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