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Fasciotomy or fasciectomy is a surgical procedure where the fascia is cut to relieve tension or pressure in order to treat the resulting loss of circulation to an area of tissue or muscle. [1] Fasciotomy is a limb-saving procedure when used to treat acute compartment syndrome. It is also sometimes used to treat chronic compartment stress syndrome.
Chronic compartment syndrome in the lower leg can be treated conservatively or surgically. Conservative treatment includes rest, anti-inflammatory medications, and manual decompression. Warming the affected area with a heating pad may help to loosen the fascia prior to exercise. Icing the area may result in further constriction of the fascia ...
A compartment space is anatomically determined by an unyielding fascial (and osseous) enclosure of the muscles.The anterior compartment syndrome of the lower leg (often referred to simply as anterior compartment syndrome), can affect any and all four muscles of that compartment: tibialis anterior, extensor hallucis longus, extensor digitorum longus, and peroneus tertius.
A Cochrane review found that complete pain relief in 85-100% of neurectomy cases and 60-99% of decompression cases. [2] The revision rate for nerve decompression is 12% and a revision was either a repeat decompression or neurectomy. The revision rate for neurectomy is approximately 0%. [8]
Identifying the level of entrapment is an important consideration for surgery as decompressing the wrong area will lead to a failed surgery (e.g. performing back surgery for extra-spinal sciatica), [2] [3] failure to treat nerve entrapment early can lead to permanent nerve injury, [4] and the patient may be unnecessarily exposed to surgical ...
Myotomy · Tenotomy · Fasciotomy: Muscle biopsy · Amputation · Tendon transfer: Breast: Mammoplasty: Lumpectomy · Mastectomy: Breast implant · Mastopexy · Breast reconstruction · Breast reduction plasty: Skin: V-plasty · VY-plasty · W-plasty · Z-plasty: Escharotomy: Skin biopsy: Other/ungrouped
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Symptomatic patients: open surgical decompression is the mainstay of treatment for PAES. [26] The release of entrapment is achieved by performing division of the medial head of the gastrocnemius or musculotendinous band. The surgery can be performed with either posterior or medical approaches.