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A fasciotomy is a surgical procedure where the fascia, the connective tissue surrounding muscles, is cut to relieve pressure. It is primarily used to treat compartment syndrome, a condition where excessive pressure builds up within an enclosed muscle compartment, reducing blood flow and leading to muscle and nerve damage. This condition often arises due to trauma, fractures, crush injuries, or severe swelling after surgery, which increases pressure within the compartment. Fasciotomy helps restore circulation, preventing permanent damage to muscles, nerves, and blood vessels. Without timely intervention, compartment syndrome can lead to muscle necrosis, paralysis, and even amputation. While fasciotomy is a life- or limb-saving procedure, it carries risks and potential complications. These include infection, bleeding, and scarring. A significant complication is delayed wound healing, as the surgical site is often left open to avoid increased pressure during the healing phase. This open wound may require further surgeries, skin grafts, or prolonged wound care. Other risks include nerve damage, which can result in sensory loss or weakness, and chronic pain. In rare cases, patients may develop long-term muscle weakness or joint stiffness. Fasciotomy is effective in treating compartment syndrome but must be performed promptly to avoid irreversible tissue damage. Early diagnosis and treatment are crucial for a positive outcome. However, due to the invasive nature of the procedure, careful monitoring and post-operative care are essential to minimize the risk of complications.
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