[abstract] EARLY FASCIOTOMY CLOSURE USING SIMULTANEOUS VACUUM ASSISTED CLOSURE AND HYPERBARIC OXYGEN THERAPY

Rubicon Research Repository/Manakin Repository

[abstract] EARLY FASCIOTOMY CLOSURE USING SIMULTANEOUS VACUUM ASSISTED CLOSURE AND HYPERBARIC OXYGEN THERAPY

Show full item record


Title: [abstract] EARLY FASCIOTOMY CLOSURE USING SIMULTANEOUS VACUUM ASSISTED CLOSURE AND HYPERBARIC OXYGEN THERAPY
Author: Weiland, D; Malone, J
Abstract: BACKGROUND: Fasciotomies are a frequent requirement to treat compartment syndromes when crush or acute vascular injuries occur. After the fasciotomy is completed, it takes 2-3 weeks to cover the wound and this is usually done with skin grafts. This results in an unsightly scar and a cover that is easily injured. If the wound could be closed earlier, the retracted skin edges could be closed over the wound. Both hyperbaric oxygen treatments (HBOT) and the Vacuum Assisted Closure (VAC) reduce edema in an acute wound. By using a combination of both methods, fasciotomy closure with normal skin can be achieved in 3-14 dayMATERIALS AND METHODS: Four patients had fasciotomies for either crush injuries, vascular injuries or both. With one exception, each wound was closed by adjacent skin in 3-10 days. The exceptional case was a case of myonecrosis resulting from an anterior compartment syndrome. Final closure with adjacent skin was completed 18 days after the fasciotomy. This case might have been closed earlier, except necrotic muscle needed multiple debridementRESULTS: Each fasciotomy wound was closed by adjacent skin in 3-10 days. This provided a more cosmetically acceptable and durable wound. Moreover, early closure most likely resulted in less cost by a reduction in operative procedures and a reduced length of staCONCLUSIONS: HBOT and VAC seem to provide a synergistic effect for reduction of edema and early wound closure in fasciotomy closure. The VAC removes fluid by suction and the HBOT reduces fluid accumulation by preserving cells, by vasospasm producing oncotic removal of interstitial fluid and by reducing the effect of ischemia-reperfusion syndrome. Combined use of HBOT and the VAC not only provide earlier closure by adjacent skin, but most likely reduce costs and length of stay.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/3622
Date: 2006

Files in this item

Files Size Format View
abstract.txt 259bytes Text file View/Open

This item appears in the following Collection(s)

  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

Show full item record

Browse

My Account