A shark attack treated in a tertiary care centre: Case report and review of the literature
Although uncommon, shark attacks can lead to devastating outcomes for victims. Surgeons also face unique challenges during operative management such as exsanguination, shock, specific injury patterns and infections. This case report presents the management of a 39-year-old previously healthy female...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2018-01-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2016.01991 |
| _version_ | 1798026223255814144 |
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| author | Mélissa Roy Mathew A Plant Laura Snell |
| author_facet | Mélissa Roy Mathew A Plant Laura Snell |
| author_sort | Mélissa Roy |
| collection | DOAJ |
| description | Although uncommon, shark attacks can lead to devastating outcomes for victims. Surgeons also face unique challenges during operative management such as exsanguination, shock, specific injury patterns and infections. This case report presents the management of a 39-year-old previously healthy female attacked by a shark while on vacation in Mexico. The patient sustained severe injuries to her left arm and her left thigh. She was transferred to a Canadian institution after ambiguous operative management in Mexico and presented with no clear antibiotic coverage and a Volkman’s contracture of the left upper extremity. In total, the patient underwent four washouts of wounds, two split-thickness skin grafts, one free anterolateral thigh flap, and one free transverse rectus abdominus myocutaneous flap for the reconstruction and salvage of the left lower extremity. This article highlights the specifics of this case and describes important points in managing these devastating injuries. |
| first_indexed | 2024-04-11T18:31:51Z |
| format | Article |
| id | doaj.art-46503cbce6214e4da3e3c778d25994d8 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T18:31:51Z |
| publishDate | 2018-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-46503cbce6214e4da3e3c778d25994d82022-12-22T04:09:24ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712018-01-014501808410.5999/aps.2016.01991887A shark attack treated in a tertiary care centre: Case report and review of the literatureMélissa Roy0Mathew A Plant1Laura Snell2Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, ON, CanadaDivision of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, ON, CanadaDivision of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, ON, CanadaAlthough uncommon, shark attacks can lead to devastating outcomes for victims. Surgeons also face unique challenges during operative management such as exsanguination, shock, specific injury patterns and infections. This case report presents the management of a 39-year-old previously healthy female attacked by a shark while on vacation in Mexico. The patient sustained severe injuries to her left arm and her left thigh. She was transferred to a Canadian institution after ambiguous operative management in Mexico and presented with no clear antibiotic coverage and a Volkman’s contracture of the left upper extremity. In total, the patient underwent four washouts of wounds, two split-thickness skin grafts, one free anterolateral thigh flap, and one free transverse rectus abdominus myocutaneous flap for the reconstruction and salvage of the left lower extremity. This article highlights the specifics of this case and describes important points in managing these devastating injuries.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2016.01991sharkbitesfree tissue flapmyocutaneous flappenetrating wound |
| spellingShingle | Mélissa Roy Mathew A Plant Laura Snell A shark attack treated in a tertiary care centre: Case report and review of the literature Archives of Plastic Surgery shark bites free tissue flap myocutaneous flap penetrating wound |
| title | A shark attack treated in a tertiary care centre: Case report and review of the literature |
| title_full | A shark attack treated in a tertiary care centre: Case report and review of the literature |
| title_fullStr | A shark attack treated in a tertiary care centre: Case report and review of the literature |
| title_full_unstemmed | A shark attack treated in a tertiary care centre: Case report and review of the literature |
| title_short | A shark attack treated in a tertiary care centre: Case report and review of the literature |
| title_sort | shark attack treated in a tertiary care centre case report and review of the literature |
| topic | shark bites free tissue flap myocutaneous flap penetrating wound |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2016.01991 |
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