Journal of Pediatric Surgery
Volume 44, Issue 8 , Pages 1625-1630 , August 2009

Minimizing limb amputations in meningococcal sepsis by early microsurgical arteriolysis

  • Willy D. Boeckx

      Affiliations

    • Department of Plastic Surgery, ULB Brussels University Hospital, Brussels, Belgium
    • Corresponding Author InformationCorresponding author.
    • ,
  • Lloyd Nanhekhan

      Affiliations

    • Department of Plastic Surgery, ULB Brussels University Hospital, Brussels, Belgium
    • ,
  • Gijs D. Vos

      Affiliations

    • Department of Paediatrics, University Hospital Maastricht, The Netherlands
    • ,
  • Piet Leroy

      Affiliations

    • Department of Paediatrics, University Hospital Maastricht, The Netherlands
    • ,
  • Eric Van den Kerckhove

      Affiliations

    • Department of Plastic, Reconstructive and Hand Surgery, University Hospital Leuven, Belgium

Received 12 July 2007 ,Revised 30 October 2007 ,Accepted 19 December 2007.

References 

  1. Pathan N, Faust SN, Levin M. Pathophysiology of meningococcal meningitis and septicaemia. Arch Dis Child. 2003;88(7):601–607
  2. Potokar TS, Oliver DW, Ross Russell R, et al. Meningococcal septicaemia and plastic surgery a strategy for management. Br J Plast Surg. 2000;53(2):142–148
  3. Huang DB, Price M, Pokorny J, et al. Reconstructive surgery in children after meningococcal purpura fulminans. J Pediatr Surg. 1999;34(4):595–601
  4. Jester A, Waag KL, Germann G, et al. Sequential microsurgical flap reconstruction following purpura fulminans during infancy and childhood. J Reconstr Microsurg. 2002;18(1):17–22
  5. Van Landuyt K, Hamdi M, Blondeel P, et al. Free perforator flaps in children. Plast Reconstr Surg. 2005;116(1):159–169
  6. Wheeler JS, Anderson BJ, De Chalain TM. Surgical interventions in children with meningococcal purpura fulminans a review of 117 procedures in 21 children. J Pediatr Surg. 2003;38(4):597–603
  7. Dinh TA, Friedman J, Higuera S. Plastic surgery management in pediatric meningococcal-induced purpura fulminans. Clin Plast Surg. 2005;32(1):117–121
  8. Organek AJ, Klebuc MJ, Zuker RM. Indications and outcomes of free tissue transfer to the lower extremity in children: a review. J Reconstr Microsurg. 2006;22(3):173–181
  9. Dippenaar R, Smith J, Goussard P, et al. Meningococcal purpura fulminans treated with medicinal leeches. Pediatr Crit Care Med. 2006;7(5):476–478
  10. Guerra AB. Soft-tissue reconstruction after meningococcal septicemia using a posterior tibial artery perforator flap in a 6-year-old boy. Pediatr Surg Int. 2005;21(6):466–469

PII: S0022-3468(07)01036-6

doi: 10.1016/j.jpedsurg.2007.12.060

Journal of Pediatric Surgery
Volume 44, Issue 8 , Pages 1625-1630 , August 2009

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