Fasciotomy

Fasciotomy incision

Fasciography is a special method for studying the muscles in the chest and abdominal cavity, which allows you to study their condition, structure and tone. With its help, doctors determine the location and performance of the fascia, including their connections, and also prescribe treatment measures. Developed as an alternative to traditional methods for diagnosing soft tissue lesions. If the patient does not come to see the doctor, then the condition of the patient’s fascial system is assessed only during a follow-up examination or consultation via the Internet. Fascia is located in all areas of the body and plays an important role in the mobility of bone joints. Today, the method has begun to be actively used in various fields of medicine. It helps to determine the causes of pain that occurs in patients after sports activities or injuries. Also indicated for autoimmune diseases, neurological pathologies, and inflammatory processes. There are several types of fasciotomy incisions. The most common is anatomical. Usually prescribed for sprained muscles and ligaments, post-traumatic and other contractures. Diagnosed with weakness of the hand, impaired mobility of the shoulder and neck, and a fissure of the shin. A physiological incision is also made. The main indications are, in particular, deterioration of the contractile function of the bladder sphincter, paralysis of the feet, contracture of the extensor of the fingers or joint. If the diagnosis is carried out using radionuclide technology, the possibility of performing a spinal incision is not excluded. However, before doing anything with the patient, he must be warned about the possibilities and consequences of the operation, and the need to follow all the doctor’s advice. It is not recommended to carry out any manipulations of dubious origin. It may be better for the patient to conduct additional study of the subjects that interest him, and then find the necessary information in books or even video tutorials. It is necessary to explain that a lot of people can injure the fascial apparatus, therefore fasciology also includes the diagnosis of possible pathologies of the musculoskeletal system.

Radical surgical intervention consisting of dissection of the wall or adhesions - fascia. Fasciotoma is used for the surgical treatment of elephantiasis and congenital varicose veins of the lower extremities.

Fascination of subcutaneous tissue is carried out in two ways - fasciation and refasciation.

**With fasciation** without isolating the fascial apparatus (lower veins) in the postoperative period, a dense, obstructive scar is formed in the formation phase and a free pulsating scar in the bridging phase. The consequence of such treatment is usually chronic swelling of part of the leg up to the development of elephantiasis on the affected limb.

With **refasciation** (“muscle version”), when the formed muscle sheath is isolated with complete preservation of all venous vessels, scar tissue does not form a mechanical obstacle to venous and lymphatic outflow, however, a scar is formed (muscle “purse”), causing pain when movement in the joint and practically undetectable visually. This leads to dysfunction of the limb in the area of ​​scar formation. Most authors note worse functional results after refascioplasty due to the need for long-term treatment with rest, as well as a high risk of suppuration. Situations in which fasciectomy is used

Dissection of the sheath of the cutaneous nerve of the thigh. This is the name given to the synovial membrane of the saphenous nerve, which restores function in case of atrophy or radiculitis of the sciatic nerve. The same applies to the case of the problem of the ischiocavernosal nerve. It innervates