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A rare case of acute compartment syndrome after saphenectomy
Authors:Marco Milone  Piero Venetucci  Salvatore Iervolino  Caterina Taffuri  Giuseppe Salvatore  Francesco Milone
Affiliation:Marco Milone, Piero Venetucci, Salvatore Iervolino, Caterina Taffuri, Giuseppe Salvatore, Francesco Milone, Department of Advanced Biomedical Science, University “Federico II” of Naples, 80131 Naples, Italy
Abstract: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.
Keywords:Compartment   Saphenectomy   Varicose veins   Muscle ischemia   Rehabilitation
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