Amputation might be beneficial in cases where no MM-102 chemical structure residual function of the limb is expected postoperatively. This implies major deficit of its neurovascular supply. Major nerve involvement may lead to preservation of a useless extremity that is worse than no limb at all [15]. For the lower limb, destruction of the tibial nerve is considered an indication for below-knee amputation since the functional result of the preservation of the limb is worse compared with the use of prosthesis. Modern prosthetics often provide better function than many “”successfully salvaged”" limbs. For the upper limb, even minimal

preservation of the movement and sensation might be beneficial for the patient (handle a wheel chair, {Selleck Anti-cancer Compound Library|Selleck Anticancer Compound Library|Selleck Anti-cancer Compound Library|Selleck Anticancer Compound Library|Selleckchem Anti-cancer Compound Library|Selleckchem Anticancer Compound Library|Selleckchem Anti-cancer Compound Library|Selleckchem Anticancer Compound Library|Anti-cancer Compound Library|Anticancer Compound Library|Anti-cancer Compound Library|Anticancer Compound Library|Anti-cancer Compound Library|Anticancer Compound Library|Anti-cancer Compound Library|Anticancer Compound Library|Anti-cancer Compound Library|Anticancer Compound Library|Anti-cancer Compound Library|Anticancer Compound Library|Anti-cancer Compound Library|Anticancer Compound Library|Anti-cancer Compound Library|Anticancer Compound Library|Anti-cancer Compound Library|Anticancer Compound Library|buy Anti-cancer Compound Library|Anti-cancer Compound Library ic50|Anti-cancer Compound Library price|Anti-cancer Compound Library cost|Anti-cancer Compound Library solubility dmso|Anti-cancer Compound Library purchase|Anti-cancer Compound Library manufacturer|Anti-cancer Compound Library research buy|Anti-cancer Compound Library order|Anti-cancer Compound Library mouse|Anti-cancer Compound Library chemical structure|Anti-cancer Compound Library mw|Anti-cancer Compound Library molecular weight|Anti-cancer Compound Library datasheet|Anti-cancer Compound Library supplier|Anti-cancer Compound Library in vitro|Anti-cancer Compound Library cell line|Anti-cancer Compound Library concentration|Anti-cancer Compound Library nmr|Anti-cancer Compound Library in vivo|Anti-cancer Compound Library clinical trial|Anti-cancer Compound Library cell assay|Anti-cancer Compound Library screening|Anti-cancer Compound Library high throughput|buy Anticancer Compound Library|Anticancer Compound Library ic50|Anticancer Compound Library price|Anticancer Compound Library cost|Anticancer Compound Library solubility dmso|Anticancer Compound Library purchase|Anticancer Compound Library manufacturer|Anticancer Compound Library research buy|Anticancer Compound Library order|Anticancer Compound Library chemical structure|Anticancer Compound Library datasheet|Anticancer Compound Library supplier|Anticancer Compound Library in vitro|Anticancer Compound Library cell line|Anticancer Compound Library concentration|Anticancer Compound Library clinical trial|Anticancer Compound Library cell assay|Anticancer Compound Library screening|Anticancer Compound Library high throughput|Anti-cancer Compound high throughput screening| use computer systems etc) and generally provides better function compared with prosthesis. Non palpable https://www.selleckchem.com/products/torin-2.html pulse of the radial or dorsalis pedis artery intraoperatively should lead to sonographic assessment of the vascular supply of the limb. If no venous return is seen on triplex, amputation should be strongly considered. Severe, irreparable vascular injury in an ischemic limb is another indication for amputation. Before performing an amputation, a vascular surgery consultation should be considered if available without delaying

the treatment decision [15, 16]. Improved techniques currently allow for revascularization of limbs that previously would have been unsalvageable. Revascularization is not without risk, however [9, 15]. Attempts to salvage a severely compromised limb may lead to metabolic overload and secondary organ failure. Comorbid medical conditions must also be considered before heading down a long road of multiple operations to save a limb [15]. Even though cases

with aggressive infection presenting with systemic complications due to gas gangrene of the limb are more likely to have more advanced local infection which precludes limb salvage, there is no evidence that amputation controls infection Rebamipide better than adequate wide surgical debridement. Therefore, in our patient the treatment decision for limb salvage was not influenced by the presence of systemic complications. It was rather based on the estimation of what is left behind after an adequate resection of all devitalized tissue. If limb salvage is attempted, one must take into account that postoperative daily surgical exploration might be necessary for several days until all necrotic tissue is removed. In cases of limb salvage after gas gangrene reported in the literature, serial debridement following initial surgery was necessary only in four patients including our case. This might indicate a more adequate initial operation in cases with limb preservation or a less aggressive form of disease in these patients [5–7].