The dermatotraction technique for closure of fasciotomy wound

Venkataramana, Prabhakar; Padasali, Praveen S

doi:10.4103/2319-2585.155912

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“…Systemic symptoms like fever and raised white cell counts were present in 42% of the individuals at the time of admission. 13 Surgical intervention is required in patients developing local complications such as spreading of cellulitis which spreads to involve the entire limb followed by perineum and abdomen, leading to compartment syndrome which requires prolonged hospital stay, increasing the cost burden for hospital services. 14 Fasciotomy, a limb saving surgery, often poses problem to a surgeon with regards to its wound closure.…”

Section: Discussionmentioning

confidence: 99%

Comparative study of delayed primary closure by shoelace technique versus conventional secondary suturing method in closure of fasciotomy wounds, done for spreading cellulitis with compartment syndrome

Thrishuli

Kumar

2020

Int Surg J

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Background: Fasciotomy is a standard treatment for acute compartment syndrome. Historically, fasciotomy incisions were usually left open till oedema settles down. In literature, there is a wide range of wound closure techniques published, but none of them is deemed to be the best. In this study, focus is laid on whether delayed primary closure (DPC) by shoelace technique, is as effective as conventional secondary suturing, in closure of fasciotomy wounds, done for spreading cellulitis.Methods: All those patients who met below mentioned inclusion criteria and underwent fasciotomy, were allocated into 2 groups (A and B) where Group A consists of 30 patients undergoing conventional secondary suturing, whereas Group B consists of 30 patients undergoing DPC by shoelace technique for closure of fasciotomy wounds. Parameters such as duration of hospital stay, time taken for complete wound closure, local wound complications, hospital expenses, anaesthesia related complications between the two groups were compared.Results: Patients who underwent DPC for fasciotomy wound closure achieved wound closure ~7 days earlier with 5 days lesser hospital stay than that of those who underwent conventional secondary suturing. Average health care cost of Group B was significantly lower compared to Group A, but there was no statistically significant difference in incidence of wound infections between the two groups.Conclusions: DPC by shoelace technique, takes less time for wound closure and hence the need for nursing care and hospital stay is significantly reduced in comparison to the conventional secondary suturing method.

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Section: Discussionmentioning

confidence: 99%