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Revista chilena de cirugía

On-line version ISSN 0718-4026

Abstract

REYES D, ANDRÉS et al. Vessel loops for primary closure of fasciotomies. Rev Chil Cir [online]. 2010, vol.62, n.4, pp.377-381. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262010000400009.

Background: Compartment syndrome of the extremity may occur after severe trauma with vascular lesions secondary to fractures, crushes or gunshots. To prevent it a fasciotomy must be done. Aim To report the use vessel loop shoelace technique for the progressive closure of the fasciotomy. Material and methods: Descnptive study of 24 patients aged 26 ± 9 years (21 males) that required fasciotomy to prevent compartment syndromes. The fasciotomy wound was closed progressively using vessel loops anchored to the skin with staples or sutures, which were tightened progressively, according to the evolution. Results: The studied patients required a total of 56 fasciotomies. In all patients a complete or near complete closure of the wound was achieved. The mean closure time was 9.5 ± 3.3 days. Mean hospital stay was 12.3 ± 4.3 days. Conclusions: Vessel loop shoelace technique is effective for fasciotomy wound closure.

Keywords : Vessel loop; fasciotomy; compartment syndrome.

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