The Overwhelming Postsplenectomy Sepsis: Role of Plastic Surgeon
Summary:. The overwhelming post-splenectomy infection (OPSI) is a feared late complication of splenectomy, with high morbidity and a mortality rate of up to 50%. Although the management of this syndrome is the duty of clinical physicians, the interest of plastic surgeons in OPSI is related to the in...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-07-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005109 |
| _version_ | 1827891341159301120 |
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| author | Marta Starnoni, MD Marco Pappalardo, MD, PhD Caterina Marra, MD Massimo Pinelli, MD Giorgio De Santis, MD |
| author_facet | Marta Starnoni, MD Marco Pappalardo, MD, PhD Caterina Marra, MD Massimo Pinelli, MD Giorgio De Santis, MD |
| author_sort | Marta Starnoni, MD |
| collection | DOAJ |
| description | Summary:. The overwhelming post-splenectomy infection (OPSI) is a feared late complication of splenectomy, with high morbidity and a mortality rate of up to 50%. Although the management of this syndrome is the duty of clinical physicians, the interest of plastic surgeons in OPSI is related to the injury that can occur in tissues with an end circulation, such as the limb extremities, nasal tip, and lips. In the management of OPSI, surgical techniques are not highlighted. The role of the plastic surgeon can be fundamental for the prevention of further extension of the necrotic tissue, improving as much as possible the vascularization around it. Moreover, a critical role in the management of OPSI is avoiding superinfection of the necrotic areas by combining different techniques and methods, such as surgical debridements, negative pressure wound therapy, and conservative treatment. Last but not least, functional and aesthetic restoration of the injured parts is of paramount importance for the final outcome. In this article, we describe the management of two unvaccinated patients with necrosis of the extremities after OPSI. |
| first_indexed | 2024-03-12T21:25:20Z |
| format | Article |
| id | doaj.art-0dfffebbbd6c4fa28c81f87e1294aa49 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-03-12T21:25:20Z |
| publishDate | 2023-07-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-0dfffebbbd6c4fa28c81f87e1294aa492023-07-28T09:29:00ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-07-01117e510910.1097/GOX.0000000000005109202307000-00020The Overwhelming Postsplenectomy Sepsis: Role of Plastic SurgeonMarta Starnoni, MD0Marco Pappalardo, MD, PhD1Caterina Marra, MD2Massimo Pinelli, MD3Giorgio De Santis, MD4From the Division of Plastic and Reconstructive Surgery, Department of Medical and Surgical Sciences, Policlinico University Hospital, University of Modena and Reggio Emilia, Modena, Italy.From the Division of Plastic and Reconstructive Surgery, Department of Medical and Surgical Sciences, Policlinico University Hospital, University of Modena and Reggio Emilia, Modena, Italy.From the Division of Plastic and Reconstructive Surgery, Department of Medical and Surgical Sciences, Policlinico University Hospital, University of Modena and Reggio Emilia, Modena, Italy.From the Division of Plastic and Reconstructive Surgery, Department of Medical and Surgical Sciences, Policlinico University Hospital, University of Modena and Reggio Emilia, Modena, Italy.From the Division of Plastic and Reconstructive Surgery, Department of Medical and Surgical Sciences, Policlinico University Hospital, University of Modena and Reggio Emilia, Modena, Italy.Summary:. The overwhelming post-splenectomy infection (OPSI) is a feared late complication of splenectomy, with high morbidity and a mortality rate of up to 50%. Although the management of this syndrome is the duty of clinical physicians, the interest of plastic surgeons in OPSI is related to the injury that can occur in tissues with an end circulation, such as the limb extremities, nasal tip, and lips. In the management of OPSI, surgical techniques are not highlighted. The role of the plastic surgeon can be fundamental for the prevention of further extension of the necrotic tissue, improving as much as possible the vascularization around it. Moreover, a critical role in the management of OPSI is avoiding superinfection of the necrotic areas by combining different techniques and methods, such as surgical debridements, negative pressure wound therapy, and conservative treatment. Last but not least, functional and aesthetic restoration of the injured parts is of paramount importance for the final outcome. In this article, we describe the management of two unvaccinated patients with necrosis of the extremities after OPSI.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005109 |
| spellingShingle | Marta Starnoni, MD Marco Pappalardo, MD, PhD Caterina Marra, MD Massimo Pinelli, MD Giorgio De Santis, MD The Overwhelming Postsplenectomy Sepsis: Role of Plastic Surgeon Plastic and Reconstructive Surgery, Global Open |
| title | The Overwhelming Postsplenectomy Sepsis: Role of Plastic Surgeon |
| title_full | The Overwhelming Postsplenectomy Sepsis: Role of Plastic Surgeon |
| title_fullStr | The Overwhelming Postsplenectomy Sepsis: Role of Plastic Surgeon |
| title_full_unstemmed | The Overwhelming Postsplenectomy Sepsis: Role of Plastic Surgeon |
| title_short | The Overwhelming Postsplenectomy Sepsis: Role of Plastic Surgeon |
| title_sort | overwhelming postsplenectomy sepsis role of plastic surgeon |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005109 |
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