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Fasciotomía Clase

The document discusses fasciotomies, which are surgical procedures to relieve pressure in the fascial compartments of muscles. It covers indications for fasciotomies such as diagnosing compartment syndrome, contraindications if diagnosed too late, and techniques for different body parts.

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Bruno Mendoza
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14 views18 pages

Fasciotomía Clase

The document discusses fasciotomies, which are surgical procedures to relieve pressure in the fascial compartments of muscles. It covers indications for fasciotomies such as diagnosing compartment syndrome, contraindications if diagnosed too late, and techniques for different body parts.

Uploaded by

Bruno Mendoza
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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FASCIOTOMÍAS

Dr. Jonathan M. López Reyes R2CPR C.M. ISSEMyM


Instituto Nacional de Rehabilitación-CENIAQ
Definición de síndrome
compartimental
Indicaciones
OBJETIVO
Contraindicaciones

Técnica quirúrgica
FASCIOTOMÍA

UNA VEZ ESTABLECIDO EL


DIAGNÓSTICO DE:

SÍNDROME COMPARTIMENTAL
• AUMENTO PRESIÓN SÍNDROME COMPARTIMENTA
INTERSTICIAL EN
TEJIDOS BLANDOS

• INTERRUPCIÓN DEL
FLUJO SANGUÍNEO

• 1881: RICHARD VAN


VOLKMAN
Fccp, A. T. R. J. M. F. (n.d.). Fasciotomy for Acute compartment syndrome: Overview. https://emedicine.medscape.com/article/2058838-
overview?&icd=login_success_email_match_fpf#showall
FASCIOTOMÍ
A
TIEMPO=TEJID
O
Fccp, A. T. R. J. M. F. (n.d.). Fasciotomy for Acute compartment syndrome: Overview, thigh
fasciotomy, lower leg fasciotomy. https://emedicine.medscape.com/article/2058838-
overview?&icd=login_success_email_match_fpf#showall
TIEMPO???

<6 HORAS: >90%


6-12 HORAS: 68%
>12 HORAS: 8%

<12H vs >12H
>INFECCIÓN
Fccp, A. T. R. J. M. F. (n.d.). Fasciotomy for Acute compartment syndrome: Overview.2022. https://emedicine.medscape.com/article/2058838-
overview?&icd=login_success_email_match_fpf#showall
INDICACIONES

DIAGNÓSTICO CLÍNICO

5P´S

(Δ p) <30mmHg

Fccp, A. T. R. J. M. F. (n.d.). Fasciotomy for Acute compartment syndrome: Overview. 2022. https://emedicine.medscape.com/article/2058838-overvi
&icd=login_success_email_match_fpf#showall
CONTRAINDICACIONES

>12 HORAS:
SÍNDROME
DIAGNÓSTIC FALLA MIONECROSI
DE
O TARDÍO RENAL S
REPERFUSIÓ
N

Fccp, A. T. R. J. M. F. (n.d.). Fasciotomy for Acute compartment syndrome: Overview. 2022. https://emedicine.medscape.com/article/2058838-overvi
&icd=login_success_email_match_fpf#showall
TÉCNICA
QUIRÚRGICA
Leg fasciotomy -
Double-incision
technique

Fccp, A. T. R. J. M. F. (n.d.). Fasciotomy for Acute compartment syndrome: Overview, thigh fasciotomy, lower leg
fasciotomy. https://emedicine.medscape.com/article/2058838-overview
Leg fasciotomy
- Single-incision
technique

Fccp, A. T. R. J. M. F. (n.d.). Fasciotomy for


Acute compartment syndrome: Overview, thigh
fasciotomy, lower leg
fasciotomy. https://emedicine.medscape.com/
article/2058838-overview
Forearm fasciotomy

Fccp, A. T. R. J. M. F. (n.d.). Fasciotomy for Acute compartment syndrome: Overview, thigh fasciotomy, lower leg
fasciotomy. https://emedicine.medscape.com/article/2058838-overview
Fccp, A. T. R. J. M. F. (n.d.). Fasciotomy for Acute compartment syndrome: Overview, thigh fasciotomy, lower leg
fasciotomy. https://emedicine.medscape.com/article/2058838-overview
Hand fasciotomy

Fccp, A. T. R. J. M. F. (n.d.). Fasciotomy for Acute compartment syndrome: Overview, thigh fasciotomy, lower leg
fasciotomy. https://emedicine.medscape.com/article/2058838-overview
Thigh
fasciotomy

Fccp, A. T. R. J. M. F. (n.d.). Fasciotomy for Acute compartment syndrome: Overview, thigh fasciotomy, lower leg
fasciotomy. https://emedicine.medscape.com/article/2058838-overview
Foot
fasciotomy

Fccp, A. T. R. J. M. F. (n.d.). Fasciotomy for Acute compartment syndrome: Overview, thigh


fasciotomy, lower leg fasciotomy. https://emedicine.medscape.com/article/2058838-overview

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