The use of a silicon sheet for gradual wound closure after fasciotomy

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• 作者：Tobias Walker ; MD^a ; Miriam Gruler ; MD^a ; ^b ; Gerhard Ziemer ; MD ; PhD^a ; ^c ; Dorothee H.L. Bail ; MD ; PhD^a ; ^d ; ^{dodobail@web.de}
• 刊名：Journal of Vascular Surgery
• 出版年：2012
• 期刊代码：214_07415214
• 类别：med
• 出版时间：June, 2012
• 卷：55
• 期：6
• 页码：1826-1828
• 文件大小：865 K

摘要

We present a silicon sheet for temporary wound covering and gradual wound closure after open fasciotomy. Fasciotomy was performed in a total of 70 limbs with compartment syndrome (CS). The main etiology of CS was predominantly vascular. All patients were treated with a silicon sheet to cover the soft tissue defect and gradually reapproximate the skin margins. In 53%of the patients, a delayed final wound closure was achieved after a mean of 11.9 days. This method allows final closure of fasciotomy wounds without scar contractures, marginal necrosis, infection, or significant pain.