[Experiences in the treatment of gas gangrene in accident surgery (author's transl)]

It is reported on 105 patients with gas gangrene. 68 cases were caused by accident, 7 of them died. Only the gas chromatographic identification of toxin in blood was needed to assure diagnosis. In 46 cases of gas gangrene localized in the lower limbs, amputation was necessary in 12 cases; in 5 cases gangrene in the lower leg, in 7 cases in the thigh. In ten cases of disease in the upper limbs three amputations were necessary. If OHP is implicated as soon as possible in the therapy of gas gangrene, in most cases local necrectomy with maintenance of the limb will be sufficient, if amputation was necessary, it was localized in the region of infection.