Gangrene surgery: Difference between revisions

Jump to navigation Jump to search
Line 11: Line 11:
*The goal of [[surgical treatment]] in [[gangrene]] is to achieve [[revascularization]] to alleviate [[pain]] and avoid [[limb loss]].
*The goal of [[surgical treatment]] in [[gangrene]] is to achieve [[revascularization]] to alleviate [[pain]] and avoid [[limb loss]].
*Options to obtain [[revascularation]] include [[intravascular thrombolysis]] using [[catheters]], and [[balloon angioplasty]] with or without the use of [[stents]]. <ref name="pmid25439329">{{cite journal| author=Elsayed S, Clavijo LC| title=Critical limb ischemia. | journal=Cardiol Clin | year= 2015 | volume= 33 | issue= 1 | pages= 37-47 | pmid=25439329 | doi=10.1016/j.ccl.2014.09.008 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25439329  }} </ref> <ref name="pmid27551978">{{cite journal| author=Farber A, Eberhardt RT| title=The Current State of Critical Limb Ischemia: A Systematic Review. | journal=JAMA Surg | year= 2016 | volume= 151 | issue= 11 | pages= 1070-1077 | pmid=27551978 | doi=10.1001/jamasurg.2016.2018 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27551978  }} </ref>
*Options to obtain [[revascularation]] include [[intravascular thrombolysis]] using [[catheters]], and [[balloon angioplasty]] with or without the use of [[stents]]. <ref name="pmid25439329">{{cite journal| author=Elsayed S, Clavijo LC| title=Critical limb ischemia. | journal=Cardiol Clin | year= 2015 | volume= 33 | issue= 1 | pages= 37-47 | pmid=25439329 | doi=10.1016/j.ccl.2014.09.008 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25439329  }} </ref> <ref name="pmid27551978">{{cite journal| author=Farber A, Eberhardt RT| title=The Current State of Critical Limb Ischemia: A Systematic Review. | journal=JAMA Surg | year= 2016 | volume= 151 | issue= 11 | pages= 1070-1077 | pmid=27551978 | doi=10.1001/jamasurg.2016.2018 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27551978  }} </ref>
*[[Hyperbaric oxygen therapy]] is one method to address [[oxygen tension]].
*[[Gas gangrene]] should be [[surgically explored]] and [[debrided]] as soon as possible because it is very aggressive and [[life-threatening]]. If it is done within 24 hours upon admission, chances of survival are high. <ref name="pmid29211672">{{cite journal| author=Stevens DL, Bryant AE| title=Necrotizing Soft-Tissue Infections. | journal=N Engl J Med | year= 2017 | volume= 377 | issue= 23 | pages= 2253-2265 | pmid=29211672 | doi=10.1056/NEJMra1600673 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29211672  }} </ref>
*[[Gas gangrene]] should be [[surgically explored]] and [[debrided]] as soon as possible because it is very aggressive and [[life-threatening]]. If it is done within 24 hours upon admission, chances of survival are high. <ref name="pmid29211672">{{cite journal| author=Stevens DL, Bryant AE| title=Necrotizing Soft-Tissue Infections. | journal=N Engl J Med | year= 2017 | volume= 377 | issue= 23 | pages= 2253-2265 | pmid=29211672 | doi=10.1056/NEJMra1600673 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29211672  }} </ref>



Revision as of 01:18, 10 April 2022

Gangrene Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Gangrene from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Gangrene surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Gangrene surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Gangrene surgery

CDC on Gangrene surgery

Gangrene surgery in the news

Blogs on Gangrene surgery

Directions to Hospitals Treating Gangrene

Risk calculators and risk factors for Gangrene surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Edzel Lorraine Co, D.M.D., M.D.


Overview

The goal of surgical treatment in gangrene is to achieve revascularization to alleviate pain and avoid limb loss.

Surgery

References

  1. Elsayed S, Clavijo LC (2015). "Critical limb ischemia". Cardiol Clin. 33 (1): 37–47. doi:10.1016/j.ccl.2014.09.008. PMID 25439329.
  2. Farber A, Eberhardt RT (2016). "The Current State of Critical Limb Ischemia: A Systematic Review". JAMA Surg. 151 (11): 1070–1077. doi:10.1001/jamasurg.2016.2018. PMID 27551978.
  3. Stevens DL, Bryant AE (2017). "Necrotizing Soft-Tissue Infections". N Engl J Med. 377 (23): 2253–2265. doi:10.1056/NEJMra1600673. PMID 29211672.

Template:WH

Template:WS