Essay On Fasciotomy

• The surgeon will make an incision in your abdomen. This is usually an up-and-down incision in the midsection of your abdomen. The incision will extend through the inside lining of your abdomen (peritoneum).

You will receive calming medicines (sedatives), especially if sedatives are given to put you in a semi-conscious state of relaxation (deep sedation). This is because the amount of sedative needed to produce this state can be hard to predict, and too much of a sedative can produce general anesthesia.

PROCEDURE: Patient was taken to the OR where she was given spinal anesthesia. She was then prepped and draped in the usual fashion for cesarean section. A Pfannenstiel incision was made carried down to the fascia. The fascia was (__) lateral and was directly separated from the rectus muscle. Rectus muscle was divided, the peritoneum cavity was entered. The O access ring was placed,

A cut (incision) is made over the vertebrae that will be fused. The back muscles are separated from the vertebrae. If you are having this procedure to treat a herniated disk, the disc material pressing on the nerve root is removed (decompression). The area where the disk is removed is then filled with extra bone. Bone from another part of your body (autogenous bone) or bone from a bone donor (allograft bone) may be used. The extra bone promotes fusion between the vertebrae. Sometimes, specific medicines are added to the fusion area to promote bone healing. In most cases, screws and rods or metal plates will be used to attach the vertebrae to stabilize them while they

Epidural anesthesia may be done to numb the area above or below the injection. It is often used during childbirth and after major abdominal or chest surgery. It takes 10–20 minutes to begin working.

You should not eat anything until the anesthesia has worn off to prevent damage to your mouth, cheek or tongue. There may be some slight pain or discomfort after the procedure. Over the counter medication or prescription pain medication may be provided to alleviate the pain.You should follow a soft food diet and the home care instructions provided by our

• An incision will be made in your chest. The location of the incision varies depending on what type of procedure will be done:

This sheet gives you information about how to care for yourself after your procedure. Your health care provider may also give you more specific instructions. If you have problems or questions, contact your health care provider.

The laparoscope and other surgical instruments will be put through the incisions. Your surgeon will use the laparoscope and a robotic arm to help control the surgical instruments.

Compartment syndrome is the pressure built up in the “compartment” underneath your skin that comes from a muscle that is swelling. They have strange ways of measuring the amount of pressure underneath the skin and to release they have to use surgical decompression. It will at first just hurt and after a period of time, cause the loss of muscle in the legs because of its affects of the pressure on the nerves.

• You will receive a medicine to make you fall asleep (general anesthetic). You may also receive a medicine to help you relax (sedative).

Oral sedatives are pills taken by mouth or dissolved under the tongue about an hour before the procedure. Most patients feel sleepiness and heaviness in their limbs after taking the medication. You are conscious throughout the procedure, however. If you do fall asleep, Dr. Das can easily wake you. Oral sedation is a popular option for patients who hate needles.

Compartment syndrome results when parenchymal interstitial pressure exceeds capillary perfusion pressure. In the vast majority of cases compartment syndrome develops as a result of intrafascial swelling caused by edema associated with ischemia/reperfusion injury or musculoskeletal trauma. When the pressure exceeds the pressure of compartment capillary perfusion by more than 30 mmHg, compartment muscle ischemia occurs. After 6-8 hours of ischemia, irreversible muscle necrosis within the compartment occurs. Currently clinical Fig. 1. a Dorsal forearm and hand wounds 8 days post fasciotomy and closure. b Volar forearm fasciotomy at the 2nd revision post fasciotomy. Dead muscle tissue was sharply resected. There was no bleeding, no contractility, and poor consistency. a b

You will need to remain in the hospital for a few days after your surgery. This time will allow the surgeons to monitor your post-operative progress. During this time in the hospital, you will experience some pain and discomfort after surgery

Compartment Syndrome is a condition where there is an increase of pressure within a confined area that is detrimental to the circulation and function of the tissues in the area (Grossman et al., 2014). Fascia, a dense connective tissue, surrounds and separates the muscles and nerves into compartments in the extremities. These fasciae provide sites of attachment for muscles, maintain the positioning of muscle groups during motion and during contraction improve the mechanical advantage of the muscle (Von Keudell et al., 2015). These fasciae create a low compliance, defined anatomical area with their dense fibrous nature. These defined anatomical areas have a finite volume, meaning that it can only endure a finite pressure (Rekha, 2010).