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Çakırtepe Hastanesi
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Fasciotomy

About the Treatment Method

Fasciotomy is an emergency and limb-saving orthopedic-cardiovascular surgery operation in which the extreme pressure (Compartment Syndrome) that suddenly develops in the arm or leg muscles as a result of severe traumas, crush injuries, fractures, or burns is relieved by surgically cutting and opening that hard and inelastic membrane (fascia) surrounding the muscles. If the pressure is not reduced, blood will not be able to reach the muscles and nerves, and the organ can become gangrenous and be lost in a short time.

Compartment Syndrome and Emergency Surgery

The process of reducing muscle pressure and closing the incisions.
Why is fasciotomy an emergency?

Muscles are inside inelastic sheaths called fascia. When there is bleeding or edema inside, the pressure increases and stops the blood flow by squeezing the arteries. If an intervention is not made within hours and that sheath is not cut from end to end, the nerve and muscle tissue will permanently die, and amputation (cutting off the arm/leg) will become inevitable.

Are the cut wounds sutured immediately?

No. In fasciotomy surgery, long incisions are made from end to end on the skin and muscle membrane, and these wounds are left "open" for days so that the muscles can bulge out and relieve their swelling. The wound is protected with special dressings or vacuum (VAC) systems.

How is the wound closed later?

After the pressure returns to normal and the edema in the muscles completely subsides (usually within 3 to 7 days), the skin edges left open are gradually approximated and sutured. If the opening is too wide and the skin does not join, the wound is closed with a thin skin patch (graft) taken from another part of the body (e.g., from the thigh).

The information on this page is for general health advice. Please consult specialized physicians for personalized treatment or advice.


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