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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.
Compartment syndrome is a serious condition. [5] Increased pressure in a body compartment can harm blood flow and tissue function. [5] [6] [7] If not treated quickly, it may cause permanent damage. [7] There are two types, acute and chronic. [8] Acute compartment syndrome can lead to a loss of the affected limb due to tissue death. [6] [9]
Subsequently, any increase in capillary refill time, decrease in Doppler signal, or change in sensation should lead to rechecking the compartment pressures. Compartment pressures greater than 30 mm Hg should be treated by immediate decompression via escharotomy and fasciotomy, if needed. [3]
The only option to treat acute compartment syndrome is surgery. The procedure, called a fasciotomy, involves a surgeon cutting open the skin and the fascia to relieve the pressure. Options to treat chronic compartment syndrome include physiotherapy, shoe inserts, and anti-inflammatory medications. [citation needed]
[34] [35] If found in the setting of acute compartment syndrome, an urgent fasciotomy is warranted to protect the limb. [36] Superior vena cava syndrome is a rare complication of arm DVT. [11] DVT is thought to be able to cause a stroke in the presence of a heart defect.
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A fascial compartment [1] is a section within the body that contains muscles and nerves and is surrounded by deep fascia.In the human body, the limbs can each be divided into two segments – the upper limb can be divided into the arm and the forearm and the sectional compartments of both of these – the fascial compartments of the arm and the fascial compartments of the forearm contain an ...