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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.
-ectomy : surgical removal (see List of -ectomies). The term 'resection' is also used, especially when referring to a tumor.-opsy : looking at-oscopy : viewing of, normally with a scope-ostomy or -stomy : surgically creating a hole (a new "mouth" or "stoma", from the Greek στόμα (stóma), meaning "body", see List of -ostomies)
Escharotomy – Procedure used to treat full-thickness (third-degree) circumferential burns; Episiotomy – Surgical incision of the perineum and the posterior vaginal wall; Fasciotomy – Surgical procedure where the fascia is cut to relieve tension or pressure commonly to treat the resulting loss of circulation to an area of tissue or muscle
According to one study the rate of fasciotomy for acute compartment syndrome varied from 2% to 24%. [19] This is due to uncertainty and differences in labeling a condition as acute compartment syndrome. The most significant prognostic factor in people with acute compartment syndrome is time to diagnosis and subsequent fasciotomy. [28]
a) Fasciotomy and b) Escharotomy in a child with third degree burns. A motorized dermatome is used to make the incisons. An escharotomy is a surgical procedure used to treat full-thickness (third-degree) circumferential burns. In full-thickness burns, both the epidermis and the dermis are destroyed along with sensory nerves in the dermis.
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If there is extensive destruction a fasciotomy is needed, therefore it is generally accepted that the best way to cover these types of tissue defects is a free flap transplantation. [18] [19] [20] Nevertheless, over the years surgeons have tried to increase the application of perforator flaps, due to their proven advantages. In the case of ...