[Hyperbaric surgery and oxygen therapy in clostridial myonecrosis].
116 patients with verified clostridial myonecrosis were treated by means of a regimen of combined cyclic hyperbaric oxygenation at 3 ata and repeated necrectomy. With proximal localization of gas gangrene in the elbow or knee (n = 55) 34.5% of patients survived, whilst with peripheral localization at the limbs (n = 44) the survival rate was 88.6% amputation being avoided in 21 of these cases. Abdominal localization (n = 17) was associated with the lowest survival rate (23.5%). In spite of severe clostridial toxicity in 80.1% of patients at the time of admission, the overall mortality was 50.8%.
Smolle-Jüttner
F M
FM
Klinische Abteilung für Thorax-und hyperbare Chirurgie, Chirurgischen Universitätsklinik, Universität Graz.
Pinter
H
H
Neuhold
K H
KH
Feierl
G
G
Sixl
T
T
Ratzenhofer
B
B
Kovac
H
H
Friehs
G
G
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical; D005260:Female; D005738:Gas Gangrene / Q000401:mortality / Q000601:surgery*; D006801:Humans; D006931:Hyperbaric Oxygenation; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000473:pathology / Q000601:surgery; D009336:Necrosis; D012086:Reoperation; D015996:Survival Rate; D016896:Treatment Outcome
Hyperbare Chirurgie und Sauerstofftherapie der clostridialen Myonekrose.