Dual Incision Fasciotomy

Surgical illustration • Pen and Ink

Fasciotomy is a common surgical procedure for trauma cases that cause compartment syndrome. Illustration for this process can be used for surgeon trainings. 

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Faculty advisor

Shelley Wall and Dave Mazierski

Medium/Software

Pen and Ink

Final presentation format

Surgical Atlas/Textbook/Manual

Primary audience

Surgeons and medical students who need to learn to perform the procedure. 

Work Process

1. Surgical observation

Sketching and making notes while watching the surgeon performing the procedure

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Reference

Text reference

  1. Direct surgical observation on May 6th, 2021 in Mount Sinai Surgical Skills Lab.

  2. Wood, J. (2020, April 21). Fasciotomy: Overview, Preparation, Technique. Medscape. https://emedicine.medscape.com/article/1894895-overview#a3

  3. Team, O. (2017). Leg Compartment Release - Two Incision Approach - Trauma - Orthobullets. Orthobullets. https://www.orthobullets.com/trauma/12236/leg-compartment-release--two-incision-approach

 

Media reference

  1. Bowyer, M. W. (2014). Lower Extremity Fasciotomy: Indications and Technique. Current Trauma Reports, 1(1), 35–44. https://doi.org/10.1007/s40719-014-0002-7

  2. Ethicon Inc. (2007). Wound Closure Manual. Ethicon Inc.

  3. Huo, M., Leslie, M., McFadyen, I., & Baumgaertner, M. (n.d.). Supine position. AO Surgery Reference. Retrieved May 25, 2021, from https://surgeryreference.aofoundation.org/orthopedic-trauma/periprosthetic-fractures/knee/preparation/supine-position

  4. JBJSmedia. (2017, July 20). Single and Dual Incision Fasciotomy of the Lower Leg [Video]. YouTube. https://www.youtube.com/watch?v=WNyKp1hlZKc&list=PLRttnPSeMOPErHdcyVc0mYBbw24VxbQth&index=1&t=105s

  5. nabil ebraheim. (2020, September 23). Acute and chronic leg Compartment Syndrome - Everything You Need To Know - Dr. Nabil Ebraheim [Video]. YouTube. https://www.youtube.com/watch?v=pET3l_iTwdo&list=PLRttnPSeMOPErHdcyVc0mYBbw24VxbQth&index=2

  6. Houston Methodist DeBakey CV Education. (2019, October 3). Leg Fasciotomy (Maham Rahimi, MD, PhD, Alejandro Gimenez, MD) [Video]. YouTube. https://www.youtube.com/watch?v=AYlcxypkZ4w&list=PLRttnPSeMOPErHdcyVc0mYBbw24VxbQth&index=3

  7. Sagar Siddiqui. (2012, March 8). Four Compartment Fasciotomy of the Leg [Video]. YouTube. https://www.youtube.com/watch?v=yhIEXC3JrYs&list=PLRttnPSeMOPErHdcyVc0mYBbw24VxbQth&index=4

  8. VATA. (2017, June 30). Suture Techniques Course Video [Video]. YouTube. https://www.youtube.com/watch?v=Akyr4zlBS9E&list=PLRttnPSeMOPErHdcyVc0mYBbw24VxbQth&index=5

  9. Dr. Shantanu Deshpande. Orthopedics. (2019, October 4). Book Chapter: 4: LOWER LIMB DRAPING BELOW KNEE[Video]. YouTube. https://www.youtube.com/watch?v=g59ZEUunYIY&list=PLRttnPSeMOPErHdcyVc0mYBbw24VxbQth&index=6

  10. NewYorkOrtho. (2018, January 11). Open 4-Compartment Fasciotomy for Chronic Exertional Compartment Syndrome of the Leg [Video]. YouTube. https://www.youtube.com/watch?v=FGZEXphOOSw&list=PLRttnPSeMOPErHdcyVc0mYBbw24VxbQth&index=7

  11. Orthopaedic Trauma Association. (2021, May 24). OTA Video Library - Compartment Release of the Leg - Laughlin[Video]. Vimeo. https://vimeopro.com/orthotraumaassn/2015-surgical-technique-videos/video/263932739