A rare case of acute compartment syndrome after saphenectomy

• 作 者: Marco Milone Piero Venetucci Salvatore Iervolino Caterina Taffuri Giuseppe Salvatore Francesco Milone
• 机 构: Department of Advanced Biomedical Science, University ico Ⅱ\\\" of Naples,
• 出 处: World Journal of Clinical Cases
• 发表日期: 2013年02期
• 关键词: compartment conservative stripping veins severity validated operated fatigue sti

Saphenectomy is one of the most validated criteria to treat varicose veins of the lower legs. Although many complications were well described, little is known about compartment syndrome due to muscle ischemia caused by constrictive bandages applied after stripping of varicose veins. We presented a case of successful conservative treatment of compartment syndrome after saphenectomy. Rehabilitation was found effective in improving fatigue, stiffness and tenderness showing the effectiveness of the combined conservative-rehabilitative treatment. However conservative treatment could not be considered the treatment of choice in daily practice. A severity score assessment of compartment syndrome should be useful to assess to which patients is allowed to not perform fasciotomy.

Saphenectomy is one of the most validated criteria to treat varicose veins of the lower legs. Little presented known about compartment syndrome due to muscle ischemia caused by constrictive bandages applied after stripping of varicose veins. We presented a case of successful conservative treatment of compartment syndrome after saphenectomy. Rehabilitation was found effective in improving fatigue, stiffness and tenderness showing the effectiveness of the combined conservative-rehabilitative treatment. However, conservative treatment found choice in daily practice of compartment syndrome should be useful to assess to which patients is allowed to not perform fasciotomy.