Optimising Wound Closure Following a Fasciotomy: A narrative review

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Elevation as a treatment for fasciotomy wound closure.

There are currently numerous techniques described in the literature that attempt to optimize wound closure following a fasciotomy. However, primary closure of fasciotomy wounds continues to be difficult to accomplish successfully because of the underlying edema sustained from the compartment syndrome. The approach described in the present report is simple and physiologically sound, and addresse...

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Wound closure expectations after fasciotomy for paediatric compartment syndrome

Purpose Acute compartment syndrome often requires additional surgery to achieve wound closure. Little information exists regarding the expected number of surgeries, techniques and complications after closure in paediatric patients. Methods A retrospective chart review identified patients treated for acute compartment syndrome at four hospitals over a ten-year period. The cause of injury, type...

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Dynamic wound closure for decompressive leg fasciotomy wounds.

Decompressive fasciotomy for preservation of lower extremity function and salvage is an essential technique in trauma. The wounds that result from the standard two incision four-compartment leg fasciotomy are often accompanied by a wide soft tissue opening that in the face of true compartment syndrome are often impossible to close in a delayed primary fashion. We describe a technique using a de...

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Optimising nutrition in residential aged care: A narrative review.

In developed countries the prevalence of protein-energy malnutrition increases with age and multi-morbidities increase nutritional risk in aged care residents in particular. This paper presents a narrative review of the current literature on the identification, prevalence, associated risk factors, consequences, and management of malnutrition in the residential aged care (RAC) setting. We perfor...

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Assisted closure of fasciotomy wounds

INTRODUCTION Negative pressure wound therapy (NPWT) and vessel loop assisted closure are two common methods used to assist with the closure of fasciotomy wounds. This retrospective review compares these two methods using a primary outcome measurement of skin graft requirement. METHODS A retrospective search was performed to identify patients who underwent fasciotomy at our institution. Patien...

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ژورنال

عنوان ژورنال: Sultan Qaboos University Medical Journal [SQUMJ]

سال: 2019

ISSN: 2075-0528,2075-051X

DOI: 10.18295/squmj.2019.19.03.004