Aseptic tissue necrosis and chronic inflammation after irrigation of penetrating hand wounds using Octenisept®

Franz, T; Vögelin, E (2012). Aseptic tissue necrosis and chronic inflammation after irrigation of penetrating hand wounds using Octenisept®. Journal of hand surgery - British and European volume, 37(1), pp. 61-4. Edinburgh: Churchill Livingstone 10.1177/1753193411414353

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Penetrating hand wounds are common and these are managed by thorough debridement. However, stab wounds without evidence of divided structures are often treated with irrigation using antiseptic substances, antibiotic therapy, and immobilization. Octenisept® (Schülke & Mayr Ltd) is a widely used antiseptic agent for disinfection of acute or chronic wounds. It has a broad spectrum of antiseptic efficacy and has become an antiseptic of first choice in many hospitals. Within a few months, four patients presented to us with chronic inflammation and severe tissue necrosis after irrigation of penetrating hand wounds with Octenisept®. Repeated surgery and debridement was required in all patients. Wound healing was prolonged and patients had persisting oedema. Penetrating hand wounds must not be irrigated with Octenisept®.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery > Hand Surgery

UniBE Contributor:

Franz, Torsten and Vögelin, Esther

ISSN:

0266-7681

Publisher:

Churchill Livingstone

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:23

Last Modified:

06 Dec 2013 13:29

Publisher DOI:

10.1177/1753193411414353

PubMed ID:

21816890

Web of Science ID:

000298959300010

URI:

https://boris.unibe.ch/id/eprint/8096 (FactScience: 213570)

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