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Hand deformities in patients with snakebite.

T T Huang, S J Blackwell, S R Lewis

    Plastic and Reconstructive Surgery
    |July 1, 1978
    PubMed
    Summary
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    Early surgical excision of poisonous snakebite tissue significantly reduces hand deformities. This excisional therapy, compared to older methods, offers a better outcome for snakebite victims, minimizing tissue damage and systemic toxicity.

    Area of Science:

    • Toxicology
    • Emergency Medicine
    • Surgical Pathology

    Background:

    • Poisonous snakebites of the hand are a significant clinical challenge.
    • Previous treatments involved polyvalent antivenin with adjunctive therapies, often leading to poor outcomes.

    Purpose of the Study:

    • To compare the efficacy of different treatment modalities for poisonous snakebites of the hand.
    • To evaluate the impact of treatment on the incidence of hand deformities.

    Main Methods:

    • Retrospective review of 83 patients treated for hand snakebites over 25 years.
    • Comparison of outcomes between patients treated with polyvalent antivenin (pre-1970) and those treated with early excisional therapy (post-1970).

    Main Results:

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  • Hand deformities occurred in 68% of patients treated with polyvalent antivenin and adjunctive methods.
  • Early excisional therapy resulted in a significantly lower incidence of hand deformity (8.2%).

    • Conclusions:

    • Early excisional therapy is a superior treatment for poisonous snakebites of the hand.
    • Excision minimizes local tissue damage and systemic toxicity, leading to better functional outcomes.