This case study examines the clinical course of a Bothrops snakebite poisoning
that occurred in Jarinu, São Paulo, Brazil, in 2021. The patient required a
fasciotomy in the upper limb due to acute compartment syndrome, followed by a
second surgical procedure involving dermo-epidermal grafting. In the late
postoperative period, the patient experienced retraction, leading to a
subsequent surgical intervention to correct the retraction in the left upper
limb. The severity of the snakebite accident, the effects of venom on tissues,
complications, acute compartment syndrome, as well as the indications and
techniques for decompressive fasciotomy, are discussed based on the available
literature.
Keywords:
Snake bites - Fasciotomy - Skin transplantation - Surgical flaps - Upper extremity
Bibliographical Record
FELIPE ANDRADE LOPES, MARIANA FERNANDES INÁCIO, LEONARDO FLUD IDEAL, TONY TOBIAS JUNIOR,
GIOVANNA CAVALCANTI BANOV, ALEXANDRE VENÂNCIO DE SOUSA, ROBERTA LOPES BARIANI. Fasciotomia
em membro superior após síndrome compartimental por acidente ofídico com posterior
enxertia e plástica em Z: relato de caso. Revista Brasileira de Cirurgia Plástica
(RBCP) – Brazilian Journal of Plastic Surgery 2024; 39: 217712352024rbcp0850pt.
DOI: 10.5935/2177-1235.2024RBCP0850-PT
