title: Symmetrical peripheral gangrene caused by septic shock.
abstract: We report three cases of symmetrical peripheral gangrene (SPG) caused by septic shock. Most of sepsis survivors with SPG require amputation of the affected extremities. To preserve the length of the thumb and fingers, we performed surgical amputation and used flaps to cover the amputated peripheral extremities.
authors.affiliation: Department of Plastic Surgery, Hiroshima University Hospital, Hiroshima, Japan.
authors.forename: Keisuke
authors.initials: K
authors.lastname: Shimbo
authors.affiliation: Department of Plastic Surgery, Hiroshima University Hospital, Hiroshima, Japan.
authors.forename: Kazunori
authors.initials: K
authors.lastname: Yokota
authors.affiliation: Department of Plastic Surgery, Hiroshima University Hospital, Hiroshima, Japan.
authors.forename: Junpei
authors.initials: J
authors.lastname: Miyamoto
authors.affiliation: Department of Plastic Surgery, Hiroshima University Hospital, Hiroshima, Japan.
authors.forename: Yukako
authors.initials: Y
authors.lastname: Okuhara
authors.affiliation: Department of Orthopedic Surgery, Hiroshima University, Graduate School of Biomedical Science, Hiroshima, Japan.
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Ochi
keywords: Flap; septic shock; surgical amputation; symmetrical peripheral gangrene