fasciotomi

Fasciotomy is a surgical procedure that involves cutting through the fascia, a tough band of connective tissue that surrounds muscles, bones, nerves, and organs. This operation is typically performed to relieve pressure within a muscle compartment. Compartment syndrome is a painful condition that occurs when pressure within the fascial compartments of the legs, arms, abdomen, or other parts of the body increases to levels that can damage muscles and nerves.

The most common cause of compartment syndrome is a fracture, but it can also result from severe burns, crushing injuries, prolonged pressure on a limb, or strenuous exercise. If left untreated, compartment syndrome can lead to permanent muscle damage, nerve damage, and even amputation.

The fasciotomy procedure involves making an incision through the skin and then carefully cutting the thickened or tight fascia. This allows the swollen muscles within the compartment to expand, thus reducing the internal pressure. The skin may be left open initially and closed later with a skin graft or sutures once the swelling has subsided.

Fasciotomy is considered a life- and limb-saving procedure. Recovery time varies depending on the severity of the compartment syndrome and the extent of the surgery. Physical therapy is often a crucial part of the rehabilitation process to regain strength and function in the affected limb. While effective in treating compartment syndrome, fasciotomy can sometimes lead to complications such as infection, nerve damage, or impaired wound healing.

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