Fasciotomy

Surgical incision on the FASCIA. It is used to decompress compartment pressure (e.g. in COMPARTMENT SYNDROMES; circumferential burns and extremity injuries) or to release contractures (e.g. in DUPUYTREN'S CONTRACTURE).

Also Known As:

Networked: 2018 relevant articles (146 outcomes, 186 trials/studies)

Relationship Network

Therapy Context: Research Results

Experts

1.	Selles, Ruud W: 11 articles (01/2022 - 07/2015)
2.	Hovius, Steven E R: 10 articles (03/2020 - 07/2015)
3.	Slijper, Harm P: 8 articles (01/2022 - 07/2015)
4.	Scheltinga, Marc R: 7 articles (09/2022 - 05/2016)
5.	Zhang, Dafang: 7 articles (04/2022 - 01/2019)
6.	Inaba, Kenji: 7 articles (01/2020 - 10/2011)
7.	Zhou, Chao: 7 articles (12/2018 - 07/2015)
8.	Maffulli, Nicola: 6 articles (03/2022 - 01/2015)
9.	O'Toole, Robert V: 6 articles (02/2022 - 10/2009)
10.	Feitz, Reinier: 6 articles (01/2022 - 07/2015)

Related Diseases

1.	Compartment Syndromes 12/01/2008 - "Fasciotomy is not always the best treatment for compartment syndrome of the leg. " 12/01/1988 - "There was one complication, a compartment syndrome that resolved completely following prompt fasciotomy. " 09/01/2009 - "Late fasciotomy and exploration may be beneficial in decompressing the deep peroneal nerve in peroneal compartment syndrome. " 09/01/2005 - "Early treatment intervention was limited to a single case in which the diagnosis of compartment syndrome was made and an emergency fasciotomy was performed with a good outcome. " 03/08/1997 - "[Good results of fasciotomy in chronic compartment syndrome of the lower leg]."
2.	Wounds and Injuries (Trauma) 11/01/2017 - "With limited guidelines and management options restricted by the large fasciotomy wounds, we believe amputation was the patients' best option." 09/01/1996 - "We present our experience with the STAR, a mechanical method of fasciotomy wound closure that is effective in 2-4 days, and is extremely simple to use." 12/01/2011 - "In this series of 227 patients who underwent fasciotomy, no technique of wound management produced a significant improvement in primary closure rate. " 08/01/2007 - "Decompressive fasciotomy with subsequent closure of the wound resulted in good outcome. " 08/01/2003 - "A Pfannenstiel incision followed by a midline fasciotomy decreases the risks associated with surgical intervention by enhancing exposure and contributing to good outcome by improving wound cosmesis."
3.	Dupuytren Contracture (Dupuytrens Contracture) 05/01/2021 - "Our study shows that repeat limited fasciectomy for selected patients presenting with recurrence of Dupuytren's disease can be an effective and safe treatment resulting in excellent patient-reported outcomes and levels of satisfaction. " 09/01/2012 - "Increasing options to treat Dupuytren disease include percutaneous needle fasciotomy (PNF), a minimally invasive technique that has proven to be effective for the treatment of primary disease. " 05/01/2006 - "The demand for percutaneous needle fasciotomy (PNF) as treatment for Dupuytren's disease is increasing because of its limited invasiveness, good outcome, limited number of complications, quick recovery, and overall patient satisfaction. " 05/01/2017 - "Our study results demonstrated that regional selective fasciectomy is a reliable and efficient method to treat Dupuytren's disease with low rates of complications and recurrence and the technique can be considered the gold standard. " 05/01/2016 - "These preliminary results indicate that IBS may be effective in enzymatic fasciotomy in Dupuytren's contracture.Cite"
4.	Pain (Aches) 05/01/2020 - "Fasciotomy for CECS in runners may provide significant improvement in pain and satisfaction in over three-quarters of patients and return to sports in 84% of patients. " 01/01/2016 - "Compared with the open approach, the patients who had undergone endoscopic plantar fasciotomy experienced significantly greater improvements in the subjective and objective functional outcomes, with less pain and greater satisfaction, and had had their expectations met earlier in the recovery period, with equivalent long-term outcomes, compared with the patients who had undergone open plantar fasciotomy. " 02/01/1984 - "It is suggested that pain in venous claudication is caused by the high intramuscular pressure, and therefore fasciotomy may be useful in the treatment of this disorder." 01/01/1984 - "Thirteen of the patients were operatively treated; distal fasciotomy on the volar aspect of the forearm or the ventral aspect of the lower leg gave rapid relief from pain at rest in nine of ten patients thus affected. " 04/05/2013 - "The diagnostic protocol led to a fasciotomy in all compartments of both legs, which was associated with substantial and sustained relief of leg pain, improved HRQL, and patient satisfaction."
5.	Contracture 06/01/2011 - "For fasciectomy, outcomes and results were as follows: the proportions of patients with a 100% correction in contracture angle ranged from 61 to 97%, the mean improvement in contracture angle ranged from 58 to 79%, and cases judged excellent/good ranged from 63 to 90%. " 12/09/2015 - "Fasciectomy improved contractures more effectively in severe disease: Mean percentage reduction in total passive extension deficit at six weeks for Tubiana grades I and II was 11% lower after needle fasciotomy than after fasciectomy, whereas for grades III and IV disease, it was 29% and 32% lower.Paraesthesia" 06/01/2011 - "Fasciotomy had similar outcomes, with a mean improvement in contracture angle ranging from 46 to 88%. " 01/01/2020 - "The purpose of this study is to assess the feasibility of conducting a large, multicentre randomised controlled trial (RCT) comparing needle fasciotomy with limited fasciectomy for treatment of Dupuytren's contractures. " 01/01/2020 - "A randomised feasibility trial comparing needle fasciotomy with limited fasciectomy treatment for Dupuytren's contractures."

Related Drugs and Biologics

1.	Collagenases (Collagenase)
2.	Microbial Collagenase (Clostridiopeptidase A)
3.	Creatine Kinase (Creatine Phosphokinase)
4.	Antivenins (Antivenoms)
5.	Intravenous Immunoglobulins (IVIG)
6.	Dacarbazine (DIC)
7.	Isocyanates
8.	Thalidomide (Thalomid)
9.	Phenobarbital (Luminal)
10.	Nitroglycerin (Dynamite)

Related Therapies and Procedures

1.	Fasciotomy
2.	Decompression
3.	Surgical Amputation (Amputations)
4.	Debridement
5.	Therapeutics