Fasciotomy in the upper limb after compartment syndrome due to snakebite with subsequent grafting and z-plasty: case report

Autor: Felipe Andrade Lopes, Mariana Fernandes Inácio, Leonardo Flud Ideal, Tony Tobias, Giovanna Cavalcanti Banov, Alexandre Venâncio de Sousa, Roberta Lopes Bariani
Jazyk: English<br />Portuguese
Rok vydání: 2024
Předmět:
Zdroj: Revista Brasileira de Cirurgia Plástica, Vol 39, Iss 1 (2024)
Druh dokumentu: article
ISSN: 1983-5175
2177-1235
DOI: 10.5935/2177-1235.2024RBCP0850-EN
Popis: This case study examines the clinical course of a Bothrops snakebite poisoning that occurred in Jarinu, São Paulo, Brazil, in 2021. The patient required a fasciotomy in the upper limb due to acute compartment syndrome, followed by a second surgical procedure involving dermo-epidermal grafting. In the late postoperative period, the patient experienced retraction, leading to a subsequent surgical intervention to correct the retraction in the left upper limb. The severity of the snakebite accident, the effects of venom on tissues, complications, acute compartment syndrome, as well as the indications and techniques for decompressive fasciotomy, are discussed based on the available literature.
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