{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T22:21:18Z","timestamp":1790115678755,"version":"4.0.1"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,3,28]],"date-time":"2022-03-28T00:00:00Z","timestamp":1648425600000},"content-version":"vor","delay-in-days":1182,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,1,15]],"date-time":"2019-01-15T00:00:00Z","timestamp":1547510400000},"content-version":"tdm","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>\n          Background  Local symptoms and signs of snake envenomation mimic the clinical features of compartment syndrome. It is important to measure the intracompartmental pressure to diagnose compartment syndrome. In this study, we present our experiences of confirming compartment syndrome and performing fasciotomy in snakebite patients based on high intracompartmental pressure findings.<\/jats:p><jats:p>\n          Methods  The medical records of patients who visited the trauma center of Wonju Severance Christian Hospital from January 2010 to December 2015 for the management of venomous snakebite were retrospectively reviewed. Starting in 2014, fasciotomy was performed in patients with an intracompartmental pressure of more than 40 mmHg in addition to the clinical symptoms of compartment syndrome.<\/jats:p><jats:p>\n          Results  A total of 158 patients with snakebite came to the hospital within 48 hours for treatment. Most patients (110 patients) were bitten at the upper extremities (69.6%). Since 2014, 33 out of 59 patients were suspected to have compartment syndrome, and their intracompartmental pressures were measured. Seventeen of those patients had a high intracompartmental pressure (average, 49.6 mmHg; range, 37\u201388 mmHg), and fasciotomy was performed.<\/jats:p><jats:p>\n          Conclusions  In this study, as many as 10.8% of all cases were in need of fasciotomy when compartment syndrome was diagnosed by measuring the intracompartmental pressure. Previously, it was reported that fasciotomy was not required in many cases of compartment syndrome originating from snakebite. However, some patients may develop very severe compartment syndrome, requiring fasciotomy.<\/jats:p>","DOI":"10.5999\/aps.2018.00577","type":"journal-article","created":{"date-parts":[[2019,1,21]],"date-time":"2019-01-21T01:18:27Z","timestamp":1548033507000},"page":"69-74","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":46,"title":["Fasciotomy in compartment syndrome from snakebite"],"prefix":"10.1055","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6092-4374","authenticated-orcid":false,"given":"Yong Hun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0414-0679","authenticated-orcid":false,"given":"Jin-hee","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1724-4250","authenticated-orcid":false,"given":"Jiye","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0401-3912","authenticated-orcid":false,"given":"Yoon Kyu","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,3,28]]},"reference":[{"key":"ref1","volume-title":"Guidelines for the management of snake-bites [Internet]","author":"DA Warrell","year":"2010"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/00003086-197511000-00007","article-title":"Tissue pressure measurements as a determinant for the need of fasciotomy","volume":"113","author":"TE Whitesides","year":"1975","journal-title":"Clin Orthop Relat Res"},{"key":"ref3","volume-title":"Rabies and envenomings: a neglected public health issue. Report of a consultative meeting [Internet]","author":"World Health Organization","year":"2007"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/S0140-6736(09)61159-4","article-title":"The Global Snake Bite Initiative: an antidote for snake bite","volume":"375","author":"D Williams","year":"2010","journal-title":"Lancet"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"e218","DOI":"10.1371\/journal.pmed.0050218","article-title":"The global burden of snakebite: a literature analysis and modelling based on regional estimates of envenoming and deaths","volume":"5","author":"A Kasturiratne","year":"2008","journal-title":"PLoS Med"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.5124\/jkma.2013.56.12.1091","article-title":"Antivenom for snake bite in Korea","volume":"56","author":"H Lim","year":"2013","journal-title":"J Korean Med Ass"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1007\/s12519-011-0282-8","article-title":"Surgery in management of snake envenomation in children","volume":"7","author":"S Laohawiriyakamol","year":"2011","journal-title":"World J Pediatr"},{"key":"ref8","first-page":"580","article-title":"Clinical features in snake bite","volume":"7","author":"IS Jang","year":"1996","journal-title":"J Korean Soc Emerg Med"},{"key":"ref9","first-page":"686","article-title":"Consideration of factors associated with complications and systemic symptoms of snake bites","volume":"19","author":"SC Jin","year":"2008","journal-title":"J Korean Soc Emerg Med"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1186\/s13049-015-0179-y","article-title":"Predictors of the development of post-snakebite compartment syndrome","volume":"23","author":"CP Hsu","year":"2015","journal-title":"Scand J Trauma Resusc Emerg Med"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1007\/BF02725623","article-title":"Surgical implications of snakebites","volume":"71","author":"A Chattopadhyay","year":"2004","journal-title":"Indian J Pediatr"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1067\/mem.2001.113373","article-title":"Role of surgical intervention in the management of crotaline snake envenomation","volume":"37","author":"EL Hall","year":"2001","journal-title":"Ann Emerg Med"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1056\/NEJMra013477","article-title":"Bites of venomous snakes","volume":"347","author":"BS Gold","year":"2002","journal-title":"N Engl J Med"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1097\/00007611-198506000-00020","article-title":"Treatment of poisonous snakebite with emphasis on digit dermotomy","volume":"78","author":"CH Watt Jr","year":"1985","journal-title":"South Med J"},{"key":"ref15","first-page":"37","article-title":"Rattlesnake bites in southern California and rationale for recommended treatment","volume":"148","author":"WA Wingert","year":"1988","journal-title":"West J Med"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1001\/jama.1975.03260040035020","article-title":"Snake venom poisoning in the United States. Experiences with 550 cases","volume":"233","author":"FE Russell","year":"1975","journal-title":"JAMA"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1179\/136485908X311786","article-title":"The role of prednisolone in reducing limb oedema in children bitten by green pit vipers: a randomized, controlled trial","volume":"102","author":"I Nuchprayoon","year":"2008","journal-title":"Ann Trop Med Parasitol"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-aps.org\/upload\/pdf\/aps-2018-00577.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-aps.org\/journal\/view.php?doi=10.5999\/aps.2018.00577","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.5999\/aps.2018.00577.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T09:07:20Z","timestamp":1705568840000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.5999\/aps.2018.00577"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":17,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2022,3,28]]},"published-print":{"date-parts":[[2019,1]]}},"URL":"https:\/\/doi.org\/10.5999\/aps.2018.00577","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1]]},"assertion":[{"value":"2018-05-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-10-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-15","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-15","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}