Compartment syndrome of the extremities and the abdomen

Authors

  • S. E. Podpryatov Kyiv Municipal Hospital No. 1
  • V. P. Korchak Kyiv Municipal Hospital No. 1
  • I. O. Belouso Kyiv Municipal Hospital No. 1
  • S. S. Podpriatov Kyiv Municipal Hospital No. 1
  • I. V. Satsiuk Kyiv Municipal Hospital No. 1
  • I. M. Slobodianiuk Kyiv Municipal Hospital No. 1

DOI:

https://doi.org/10.11603/2414-4533.2020.3.11467

Keywords:

compartment syndrome, limbs, abdominal cavity

Abstract

The aim of the work: to assume own experience on diagnostic and treatment of the compartment syndrome (CS) of the extremeties and the abdomen.

Materials and Methods. Five cases of CS were analysed.

Results and Discussion. Hand CS occur in 2 patients, lower limb – in 1, in all cases three weeks after the primary injury.

In 1 case after the dog’s bite great increase in transaminases activity occurred. Full patient’s recovery had been achieved by performing fascial compartment decompression and intensive anticlostridial antibacterial therapy during 23 days. In another case shoulder trauma while on warfarin treatment turn to swelling subfascial hematoma. Changing the anticoagulant type and performing of fasciotomy lead to full recovery. In both cases muscle destructuration and swelling were revealed by means of ultrasonic investigation. Validity of these signs should be cleared in further studies.  In the third case CS appear as the result of total subcutaneal and interfascial thigh and leg phlegmona in the consequence of lymphedema complication. Thigh amputation had been made. Intraabdominal hypertension (IH) at the level of 20 mm Hg or higher in first three days postoperatively had been seen in 12 patients. Intensive care leads to hemodynamic, breathing and abdominal tension normalizing in 9 cases. Surgical complications caused relaparotomy in 3 cases. Abdominal (A) CS occur in 2 cases. In one of that situation was wrongly estimated as uncompleted liquid-electrolyte balance and intensive therapy with positive liquid infusion of 3200 ml had been prolonged. This resulted in kidney impairment and recurrent sepsis with the failed treatment during 27 days. In another case in time diagnostic and adequate treatment were speedily successful.

Limb and abdominal CS is a life-threatening condition with specific appearance which require special a treatment.

References

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Published

2020-10-26

How to Cite

Podpryatov, S. E., Korchak, V. P., Belouso, I. O., Podpriatov, S. S., Satsiuk, I. V., & Slobodianiuk, I. M. (2020). Compartment syndrome of the extremities and the abdomen. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 93–98. https://doi.org/10.11603/2414-4533.2020.3.11467

Issue

No. 3 (2020)

Section

EXPERIENCE OF WORK

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