Gangrene surgery

Gangrene Microchapters

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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

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

## Surgery

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* 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. [1] [2]
* 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. [3]

## References

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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.