Yıl 2018, Cilt 8, Sayı 3, Sayfalar 271 - 273 2018-09-30

Early Fasciotomy due to Compartment Syndrome with Gradual Recovery of Nerve Function
Kompartman Sendromu Nedeniyle Erken Fasiotomi Yapılan Hastada Sinir Fonksiyonlarının Kademeli İyileşmesi

KEVSER TURAL [1] , Aykut Uyanık [2] , Zeynep Bilgi [3]

20 68

Abstract

The incidence of gunshot wounds reported in the literatureare is higher than those reported for motor vehicle accidents, sports injuries, or industrial accidents. Vascular trauma of the lower extremities may lead to acute arterial insufficency which requires rapid diagnosis and treatment. Compartment syndrome following vascular injury may also further complicate the process, increasing the risk of limb loss. 
In this article, we present the successful surgical treatment of a traumatic left anterior tibial artery complicated by compartment syndrome and eventual resolution of neural sequela. All effort should be made to minimize ischemia time in acute arterial injuries. Compartment syndrome may follow surgical repair even when ischemia time is low and the pulses were palpable during the entire cilinical course. Clinical diagnosis and surgical exploration may be preferable instead of compartmental pressure recordings and observation in selected cases.


Literatürde bildirilen ateşli silah yaralanmalarının insidansı motorlu araç kazaları, spor yaralanmaları veya endüstriyel kazalar için bildirilenlerden daha yüksektir. Alt ekstremitelerin vasküler travması, hızlı tanı ve tedavi gerektiren akut arteryel yetersizliğe neden olabilir. Vasküler yaralanmayı takiben kompartman sendromu da prosedürü daha komplike hale getirebilir ve ekstremite kaybı riskini arttırır. Bu makalede, kompartman sendromu ile komplike olan travmatik bir sol ön tibial arterin başarılı cerrahi tedavisini ve sonuçta nöral sekelin çözümünü sunuyoruz. Akut arteriyel yaralanmalardaki iskemi süresini en aza indirgemek için çaba göstermeliyiz. Kompartman sendromu, iskemi süresi düşükken bile cerrahi onarımı takip edebilir ve tüm klinik seyir boyunca nabızlar palpabl olabilir. Seçilmiş vakalarda kompartman basınç ölçümü yerine klinik tanı ve cerrahi eksplorasyon tercih edilebilir.

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Dergi Bölümü Olgu Sunumu
Yazarlar

Yazar: KEVSER TURAL (Sorumlu Yazar)
Kurum: Kafkas University, Faculty of Medicine, Department of Cardiovascular Surgery, Kars
Ülke: Turkey


Yazar: Aykut Uyanık
Kurum: Department of Emergency Medicine, Pamukkale University Faculty of Medicine, Denizli
Ülke: Turkey


Yazar: Zeynep Bilgi
Kurum: Kars Harakani State Hospital, Department of Thoracic Surgery, Kars
Ülke: Turkey


Bibtex @olgu sunumu { gopctd373425, journal = {Journal of Contemporary Medicine}, issn = {}, eissn = {2146-6009}, address = {Selçuk Üniversitesi}, year = {2018}, volume = {8}, pages = {271 - 273}, doi = {10.16899/gopctd.373425}, title = {Early Fasciotomy due to Compartment Syndrome with Gradual Recovery of Nerve Function}, key = {cite}, author = {Bilgi, Zeynep and TURAL, KEVSER and Uyanık, Aykut} }
APA TURAL, K , Uyanık, A , Bilgi, Z . (2018). Early Fasciotomy due to Compartment Syndrome with Gradual Recovery of Nerve Function. Journal of Contemporary Medicine, 8 (3), 271-273. DOI: 10.16899/gopctd.373425
MLA TURAL, K , Uyanık, A , Bilgi, Z . "Early Fasciotomy due to Compartment Syndrome with Gradual Recovery of Nerve Function". Journal of Contemporary Medicine 8 (2018): 271-273 <http://dergipark.gov.tr/gopctd/issue/37024/373425>
Chicago TURAL, K , Uyanık, A , Bilgi, Z . "Early Fasciotomy due to Compartment Syndrome with Gradual Recovery of Nerve Function". Journal of Contemporary Medicine 8 (2018): 271-273
RIS TY - JOUR T1 - Early Fasciotomy due to Compartment Syndrome with Gradual Recovery of Nerve Function AU - KEVSER TURAL , Aykut Uyanık , Zeynep Bilgi Y1 - 2018 PY - 2018 N1 - doi: 10.16899/gopctd.373425 DO - 10.16899/gopctd.373425 T2 - Journal of Contemporary Medicine JF - Journal JO - JOR SP - 271 EP - 273 VL - 8 IS - 3 SN - -2146-6009 M3 - doi: 10.16899/gopctd.373425 UR - http://dx.doi.org/10.16899/gopctd.373425 Y2 - 2018 ER -
EndNote %0 Journal of Contemporary Medicine Early Fasciotomy due to Compartment Syndrome with Gradual Recovery of Nerve Function %A KEVSER TURAL , Aykut Uyanık , Zeynep Bilgi %T Early Fasciotomy due to Compartment Syndrome with Gradual Recovery of Nerve Function %D 2018 %J Journal of Contemporary Medicine %P -2146-6009 %V 8 %N 3 %R doi: 10.16899/gopctd.373425 %U 10.16899/gopctd.373425
ISNAD TURAL, KEVSER , Uyanık, Aykut , Bilgi, Zeynep . "Kompartman Sendromu Nedeniyle Erken Fasiotomi Yapılan Hastada Sinir Fonksiyonlarının Kademeli İyileşmesi". Journal of Contemporary Medicine 8 / 3 (Eylül 2018): 271-273. http://dx.doi.org/10.16899/gopctd.373425