The Role of Fasciotomy for Limb Salvage in Phlegmasia Cerulea Dolens

Autor: Harvey Lozman, Henry Ferstenberg
Rok vydání: 1982
Předmět:
Zdroj: Vascular Surgery. 16:245-248
ISSN: 0042-2835
DOI: 10.1177/153857448201600405
Popis: Phlegmasia cerulea dolens, a complication of ileofemoral thrombosis, fre quently results in venous gangrene and limb loss.1,2,3 The ischemia associated with phlegmasia cerulea dolens is secondary to venous occlusion, increased pressure in muscle compartments and diminished capillary perfusion. 1,2,3 Fas ciotomy should theoretically be a logical adjunct to therapy when anticoagula tion or venous thrombectomy is contraindicated or ineffective. Benefits attri buted to compartment decompression have been reported.2,4 Nevertheless, publicized failures of fasciotomy to reverse the ischemia of phlegmasia cerulea dolens have discouraged its use.5,1
Databáze: OpenAIRE