fasciotomie

Fasciotomy is a surgical procedure used to relieve pressure on a compressed nerve or blood vessel within a fascial compartment. Fascia is a dense connective tissue that surrounds and supports muscles, bones, and other structures. Compartment syndrome occurs when increased pressure within a fascial compartment restricts blood flow and nerve function, leading to tissue damage and potential loss of function.

Fasciotomy involves making an incision through the fascia to release the pressure. This can be done through a small incision or a larger flap, depending on the severity of the condition and the location of the affected compartment. The procedure is typically performed under general anesthesia and may require the use of tourniquets to control bleeding.

Fasciotomy is commonly used to treat conditions such as crush injuries, severe burns, and certain types of trauma. It is also used in the management of acute compartment syndrome, which can occur in various parts of the body, including the extremities, abdomen, and chest.

Post-operative care for fasciotomy includes monitoring for signs of infection, managing pain, and promoting proper healing. Physical therapy may be recommended to restore function and prevent complications such as contractures or stiffness. In some cases, additional surgical procedures may be necessary to address underlying issues or complications.

Fasciotomy is a critical surgical intervention that can help prevent permanent damage to tissues and restore function in patients with compartment syndrome. It is typically performed by experienced surgeons who are trained in the management of complex trauma cases.