Définitions et usages de : Fasciotomy - Dictionnaire de anglais sensagent

Fasciotomy
Intervention
ICD-9:	82.12 83.14

When the pressure is down, the fasciotomy is covered with a skin graft.

Fasciotomy or fasciectomy is a surgical procedure where the fascia is cut to relieve tension or pressure (and treat the resulting loss of circulation to an area of tissue or muscle). Fasciotomy is a limb-saving procedure when used to treat acute compartment syndrome. It is also sometimes used to treat chronic compartment stress syndrome. The procedure has a very high rate of success, with the most common problem being accidental damage to a nearby nerve.

A forearm fasciotomy prior to skin grafting.

1 Complications
2 Process
3 Indications
4 References

Complications

Complications can also involve the formation of scar tissue after the operation. A thickening of the surgical scars can result in the loss of mobility of the joint involved. This can be addressed through occupational or physical therapy.

Process

Fasciotomy in the limbs is usually performed by a surgeon under general or regional anesthesia. An incision is made in the skin, and a small area of fascia is removed where it will best relieve pressure.

Plantar fasciotomy is an endoscopic procedure. The doctor makes two small incisions on either side of the heel. An endoscope is inserted in one incision to guide the doctor. A tiny knife is inserted in the other. A portion of the fascia near the heel is removed. The incisions are then closed.

Wound covered with a skin graft once pressure is relieved.

In addition to scar formation, there is a possibility that the surgeon may need to use a skin graft to close the wound. Sometimes when closing the fascia again in another surgical procedure, the muscle is still too large to close it completely. A small bulge is visible, but is not harmful.

Indications

Compartment syndrome is one of the conditions where a fasciotomy may be indicated. People who are likely to suffer injuries needing a fasciotomy include the following:

Victims of vehicular accidents or crush injuries^[1]
Athletes who have sustained one or more serious impact injuries
People with severe burns
Persons who are severely overweight

References

^ http://www.nlm.nih.gov/medlineplus/ency/article/001224.htm

Orthopedic surgery, operations/surgeries and other procedures on muscle/soft tissue (ICD-9-CM V3 82–84, ICD-10-PCS 0K–L)

Muscle, tendon, fascia, and bursa

muscle: Myotomy (Heller myotomy) · Muscle biopsy

tendon: Tenotomy · Tendon transfer

fascia: Fasciotomy

bursa: Bursectomy

Other

Amputation (Hemipelvectomy, Hemicorporectomy) · Replantation

M: MUS, DF+DRCT

anat (h/n, u, t/d, a/p, l)/phys/devp/hist

noco(m, s, c)/cong(d)/tumr, sysi/epon, injr

proc, drug (M1A/3)

Surgery: surgical procedures (including Ectomy, stomy, and otomy)

Ectomy

Genital	♀: Cervicectomy · Clitoridectomy · Oophorectomy · Salpingoophorectomy · Salpingectomy · Hysterectomy · Vaginectomy · Vulvectomy ♂: Vasectomy · Penectomy · Orchidectomy · Prostatectomy · Posthectomy · Gonadectomy

Musculoskeletal	Bursectomy · amputation (Hemicorporectomy, Hemipelvectomy)

Nervous system	cns (Decompressive craniectomy, Hemispherectomy, Anterior temporal lobectomy, Hypophysectomy, Amygdalohippocampectomy, Laminectomy, Corpectomy, Facetectomy) · pns (Ganglionectomy, Sympathectomy/Endoscopic thoracic sympathectomy, Neurectomy) · ear (Stapedectomy, Mastoidectomy) · eye (Photorefractive keratectomy, Trabeculectomy, Iridectomy, Vitrectomy)

Gastrointestinal	Gingivectomy · Glossectomy · Esophagectomy · Gastrectomy · Appendectomy · Proctocolectomy · Colectomy · Hepatectomy · Cholecystectomy · Pancreatectomy/Pancreaticoduodenectomy

Respiratory	Rhinectomy · Laryngectomy · Pneumonectomy

Endocrine	Hypophysectomy · Thyroidectomy · Parathyroidectomy · Adrenalectomy · Pinealectomy

Renal	Nephrectomy · Cystectomy

Lymphatic	Tonsillectomy · Adenoidectomy · Thymectomy · Splenectomy · Lymphadenectomy

Breast	Lumpectomy · Mastectomy

Bone/joint	Coccygectomy · Ostectomy (Femoral head ostectomy) · Astragalectomy · Discectomy · Synovectomy

Ungrouped	Embolectomy · Endarterectomy · Frenectomy · Ganglionectomy · Lobectomy · Myomectomy · Panniculectomy · Pericardiectomy

Stomy

Gastrointestinal	Gastrostomy (Percutaneous endoscopic gastrostomy) · Gastroduodenostomy · Gastroenterostomy · Ileostomy · Jejunostomy · Colostomy · Cholecystostomy · Hepatoportoenterostomy

Urogenital	Nephrostomy · Ureterostomy · Cystostomy (Suprapubic cystostomy) · Urostomy

Nervous system	Ventriculostomy · eye (Dacryocystorhinostomy)

Otomy

Urogenital	Amniotomy · Clitoridotomy · Hysterotomy · Hymenotomy · Episiotomy · Meatotomy · Nephrotomy

Nervous system	cns (Craniotomy, Pallidotomy, Thalamotomy, Lobotomy, Bilateral cingulotomy, Cordotomy, Rhizotomy, Laminotomy, Foraminotomy) · pns (Axotomy, Vagotomy) · ear (Myringotomy) · eye (Radial keratotomy)

Musculoskeletal	Myotomy · Tenotomy · Fasciotomy · Escharotomy · Osteotomy · Arthrotomy

Gastrointestinal	Myotomy (Heller myotomy, Pyloromyotomy) · Anal sphincterotomy · Lateral internal sphincterotomy

Respiratory	Sinusotomy · Cricothyrotomy · Bronchotomy · Thoracotomy · Thyrotomy · Tracheotomy

Cardiovascular	Cardiotomy · Phlebotomy

Ungrouped	Laparotomy

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Significations et usages de Fasciotomy

Définition

Fasciotomy

Contents

Complications

Process

Indications

References