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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.
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
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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.
A study showed the fasciotomy rate for acute compartment syndrome ranges from 2% to 24%. [19] The key factor in acute compartment syndrome is the time to diagnosis and fasciotomy. [12] A missed or late diagnosis may require limb amputation to survive. [63] [13] After a fasciotomy, some symptoms may be permanent. [13]
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 ...
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