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Immediate radical fang mark ablation may allow treatment of japanese viper bite without antivenom
Fujioka, M; Oka, K; Kitamura, R; Yakabe, A; Ito, M.
  • Fujioka, M; Nagasaki Medical Center. National Hospital Organization. Department of Plastic and Reconstructive Surgery. Nagasaki. JP
  • Oka, K; Nagasaki Medical Center. National Hospital Organization. Department of Plastic and Reconstructive Surgery. Nagasaki. JP
  • Kitamura, R; Nagasaki Medical Center. National Hospital Organization. Department of Plastic and Reconstructive Surgery. Nagasaki. JP
  • Yakabe, A; Nagasaki Medical Center. National Hospital Organization. Department of Plastic and Reconstructive Surgery. Nagasaki. JP
  • Ito, M; Nagasaki Medical Center. National Hospital Organization. Department of Pathology. Nagasaki. JP
J. venom. anim. toxins incl. trop. dis ; 15(1): 168-178, 2009. ilus
Article in English | LILACS, VETINDEX | ID: lil-508239
ABSTRACT
Administration of antivenom is currently the standard treatment for snake envenomation. However, it can sometimes cause anaphylactic reactions including urticaria, bronchospasm and hypotension. Furthermore, it may also provoke life-threatening complications, even though the mortality rate is less than 1 percent. In this study, we present a new treatment - immediate radical fang mark ablation - that was successfully performed on five victims of Japanese viper bites without antivenom use. In these five victims of venomous snakebites, surgical debridement was immediately performed. Two patients received a free-skin graft to resurface their wounds while three of them healed conservatively (i.e. by ointment treatment without surgery). After treatment, all patients could return to work. Immediate radical ablation is a recommended procedure that can reduce the amount of venom in tissues, which consequently decreases inflammatory reactions and reduces the necessity for antivenom.(AU)
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Full text: Available Index: LILACS (Americas) Main subject: Snake Bites / Snakes / Antivenins / Ablation Techniques Limits: Animals Language: English Journal: J. venom. anim. toxins incl. trop. dis Year: 2009 Type: Article Institution/Affiliation country: Nagasaki Medical Center/JP

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Full text: Available Index: LILACS (Americas) Main subject: Snake Bites / Snakes / Antivenins / Ablation Techniques Limits: Animals Language: English Journal: J. venom. anim. toxins incl. trop. dis Year: 2009 Type: Article Institution/Affiliation country: Nagasaki Medical Center/JP