Surgical implications of snakebites

Anindya Chattopadhyay, Rishab Dev Patra, Vijaya Shenoy, Vijay Kumar, Yoga Nagendhar

Research output: Contribution to journalReview article

15 Citations (Scopus)

Abstract

Objective: Snakebites are a common problem in the pediatric age group. Local complications such as necrosis and compartment syndrome threaten limb survival even after control of systemic manifestations. Few recommendations exist about the nature and timing of surgical treatment. Methods: A retrospective review of all children with snakebites presenting to the hospital was undertaken over a 6-year period. Records were reviewed with special emphasis on the type of surgical lesions seen and the treatment offered and their results. Results: 44 of the 58 children required some form of local therapy. In the majority conservative treatment was successful. 28% of the patients needed debridement for local necrosis, and only 5 needed a skin graft, with good functional results over a period of 1 to 45 days. One child underwent an above knee amputation. Patients who required surgical intervention received significantly more vials of antivenin. Conclusion: Local complications of snakebite are frequent, but can be managed conservatively. Delayed excision of the resultant local necrosis is associated with good outcomes. The need for fasciotomy is rare.

Original languageEnglish
Pages (from-to)397-399
Number of pages3
JournalIndian Journal of Pediatrics
Volume71
Issue number5
Publication statusPublished - 01-05-2004
Externally publishedYes

Fingerprint

Snake Bites
Necrosis
Antivenins
Compartment Syndromes
Debridement
Amputation
Knee
Therapeutics
Extremities
Age Groups
Pediatrics
Transplants
Skin

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Cite this

Chattopadhyay, A., Patra, R. D., Shenoy, V., Kumar, V., & Nagendhar, Y. (2004). Surgical implications of snakebites. Indian Journal of Pediatrics, 71(5), 397-399.
Chattopadhyay, Anindya ; Patra, Rishab Dev ; Shenoy, Vijaya ; Kumar, Vijay ; Nagendhar, Yoga. / Surgical implications of snakebites. In: Indian Journal of Pediatrics. 2004 ; Vol. 71, No. 5. pp. 397-399.
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Chattopadhyay, A, Patra, RD, Shenoy, V, Kumar, V & Nagendhar, Y 2004, 'Surgical implications of snakebites', Indian Journal of Pediatrics, vol. 71, no. 5, pp. 397-399.

Surgical implications of snakebites. / Chattopadhyay, Anindya; Patra, Rishab Dev; Shenoy, Vijaya; Kumar, Vijay; Nagendhar, Yoga.

In: Indian Journal of Pediatrics, Vol. 71, No. 5, 01.05.2004, p. 397-399.

Research output: Contribution to journalReview article

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N2 - Objective: Snakebites are a common problem in the pediatric age group. Local complications such as necrosis and compartment syndrome threaten limb survival even after control of systemic manifestations. Few recommendations exist about the nature and timing of surgical treatment. Methods: A retrospective review of all children with snakebites presenting to the hospital was undertaken over a 6-year period. Records were reviewed with special emphasis on the type of surgical lesions seen and the treatment offered and their results. Results: 44 of the 58 children required some form of local therapy. In the majority conservative treatment was successful. 28% of the patients needed debridement for local necrosis, and only 5 needed a skin graft, with good functional results over a period of 1 to 45 days. One child underwent an above knee amputation. Patients who required surgical intervention received significantly more vials of antivenin. Conclusion: Local complications of snakebite are frequent, but can be managed conservatively. Delayed excision of the resultant local necrosis is associated with good outcomes. The need for fasciotomy is rare.

AB - Objective: Snakebites are a common problem in the pediatric age group. Local complications such as necrosis and compartment syndrome threaten limb survival even after control of systemic manifestations. Few recommendations exist about the nature and timing of surgical treatment. Methods: A retrospective review of all children with snakebites presenting to the hospital was undertaken over a 6-year period. Records were reviewed with special emphasis on the type of surgical lesions seen and the treatment offered and their results. Results: 44 of the 58 children required some form of local therapy. In the majority conservative treatment was successful. 28% of the patients needed debridement for local necrosis, and only 5 needed a skin graft, with good functional results over a period of 1 to 45 days. One child underwent an above knee amputation. Patients who required surgical intervention received significantly more vials of antivenin. Conclusion: Local complications of snakebite are frequent, but can be managed conservatively. Delayed excision of the resultant local necrosis is associated with good outcomes. The need for fasciotomy is rare.

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Chattopadhyay A, Patra RD, Shenoy V, Kumar V, Nagendhar Y. Surgical implications of snakebites. Indian Journal of Pediatrics. 2004 May 1;71(5):397-399.