[Accompanying embolectomy and closed fasciotomy in the same session for the delayed arterial thromboembolic occlusions in lower extremity].
OBJECTIVE
We aimed to compare the postoperative complications in patient with acute lower extremity arterial occlusion who admitted in the late period in whom accompanying embolectomy and fasciotomy in the same session and fasciotomy following embolectomy were applied, because of development of compartment syndrome.


METHODS
A total of 36 patients (13 female, 23 male) with acute lower extremity arterial occlusion, who admitted to our clinic at least 12 hours after onset of symptoms were enrolled to the study and investigated retrospectively. While embolectomy was performed in all cases, the cases in which mini fasciotomy was performed after development of compartment syndrome constitute the group 1 (n=21) and the ones in whom accompanying embolectomy and closed mini fasciotomy in the same session constitute the group 2 (n=15), groups were formed randomly. Groups were compared in regard of extremity amputation, renal failure, hypoesthesia in lower extremity, paresthesia in fingers in their clinical course. In statistical analysis t test, Chi-square test and Mann Whitney U test were used for comparison of groups, and a p<0.05 was considered as significant.


RESULTS
While cardiac originating embolus was the most frequent etiologic factor, femoropopliteal artery was the most frequent involved area in both groups. Morbidity rates were 66.6% in group 1 and 13.3% in group 2 (p<0.002). Amputation below the knee was performed in two patients in group 1.


CONCLUSIONS
In order to reduce the unfavorable effects of reperfusion injury, accompanying fasciotomy and embolectomy in the same session, may have an important role in decreasing the postoperative mortality rate in patients who admitted in the late stage of lower extremity acute arterial occlusions.
Güler
Adem
A
Gülhane Askeri Tip Fakültesi, Kalp Damar Cerrahisi, Ankara, Türkiye.
Sahin
Mehmet Ali
MA
Karabacak
Kubilay
K
Küçükaslan
Nezihi
N
Yokuşoğlu
Mehmet
M
Tatar
Harun
H
D000671:Amputation, Surgical; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000601:surgery*; D017128:Embolectomy / Q000009:adverse effects; D005260:Female; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D015427:Reperfusion Injury / Q000517:prevention & control; D012189:Retrospective Studies