Escharotomy
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An escharotomy is a surgical procedure used to treat full thickness (third-degree) circumferential burns. Since full thickness burns are characterized by tough, leathery eschar, an escharotomy is used primarily to combat compartment syndrome. Following a full thickness burn, as the underlying tissues are re hydrated, they become constricted due to the eschar's loss of elasticity, leading to impaired circulation distal to the wound.
An escharotomy is performed by making an incision through the eschar to expose the fatty tissue below. Due to the residual pressure, the incision will often widen substantially.
Physiotherapy input - move limb when bleeding ceases and aim to maximise breathing mechanics.
External links
- A basic primer on the procedure
- Journal of Burns and Wounds - online open-access journal featuring articles on burn care and related research
Operations/surgeries and other procedures of the integumentary system (ICD-9-CM V3 85-86) | |
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| Breast | Breast-conserving surgery (Lumpectomy) - Mammoplasty - Mastectomy (Radical mastectomy) - Breast implant - Mastopexy - Breast reconstruction - Breast reduction |
| Skin and subcutaneous tissue | Escharotomy - Suture - Skin grafting - Hair transplantation |
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
