Kim KH, Ko IC, Kim H, Lim SY. Preserving finger length in a patient with symmetric digital gangrene under local anesthesia: A case report. World J Clin Cases 2023; 11(27): 6640-6645 [PMID: 37900227 DOI: 10.12998/wjcc.v11.i27.6640]
Corresponding Author of This Article
Soo Yeon Lim, MD, Assistant Professor, Department of Plastic and Reconstructive Surgery, Konyang University Hospital, Konyang University of College of Medicine, Myunggok Medical Research Center, 685 Gasuwon-dong seo-gu, Daejeon 35365, South Korea. lsean84@gmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 26, 2023; 11(27): 6640-6645 Published online Sep 26, 2023. doi: 10.12998/wjcc.v11.i27.6640
Preserving finger length in a patient with symmetric digital gangrene under local anesthesia: A case report
Keun Hyung Kim, In Chang Ko, Hoon Kim, Soo Yeon Lim
Keun Hyung Kim, In Chang Ko, Hoon Kim, Department of Plastic and Reconstructive Surgery, Konyang University Medical Center, Konyang University of College of Medicine, Daejeon 35365, South Korea
Soo Yeon Lim, Department of Plastic and Reconstructive Surgery, Konyang University Hospital, Konyang University of College of Medicine, Myunggok Medical Research Center, Daejeon 35365, South Korea
Author contributions: Kim KH substantially contributed to the conception and design of the study, acquisition of data, or analysis and interpretation of data; Ko IC made critical revisions related to the important intellectual content of the manuscript; Kim H made critical revisions related to the important intellectual content of the manuscript; Lim SY contributed to the conception and design of the study, drafting of the article, and provided final approval of the version of the article to be published.
Informed consent statement: The patient provided informed consent for the publication of this report. This report was approved by Konyang University Hospital’s Institutional Review Board (No. 2022-10-013).
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Soo Yeon Lim, MD, Assistant Professor, Department of Plastic and Reconstructive Surgery, Konyang University Hospital, Konyang University of College of Medicine, Myunggok Medical Research Center, 685 Gasuwon-dong seo-gu, Daejeon 35365, South Korea. lsean84@gmail.com
Received: July 5, 2023 Peer-review started: July 5, 2023 First decision: July 28, 2023 Revised: August 9, 2023 Accepted: August 31, 2023 Article in press: August 31, 2023 Published online: September 26, 2023
Abstract
BACKGROUND
Case reports of symmetric digital gangrene resulting from high-dose vasopressors use in patients with alcoholic ketoacidosis, leading to cardiac arrest, are rare. To date, no specific treatment method for autolysis or surgical amputation or guidelines for determining the level of amputation have been established.
CASE SUMMARY
In this case report, we describe a treatment method that effectively preserved the function of fingers by surgical treatment under local anesthesia with a minimum operative time, while also preserving finger length to the maximum possible extent.
CONCLUSION
Our approach may contribute to improved postoperative quality of life by preserving finger length.
Core Tip: In cases of symmetric digital gangrene, wherein multiple comorbidities exist, autolytic treatment is often considered. However, appropriate management via amputation under local anesthesia can aid in the patient's recovery.
