escharotomy


Also found in: Wikipedia.

escharotomy

 [es″kah-rot´ah-me]
surgical incision of the eschar and superficial fascia of the chest or a circumferentially burned limb in order to permit the cut edges to separate and restore blood flow to unburned tissue. Edema may form beneath the inelastic eschar of a full-thickness burn and compress arteries, thus impairing blood flow and necessitating an escharotomy. The incision is protected from infection with the same antimicrobial agent being used on the burn wound.

es·cha·rot·o·my

(es'kă-rot'ŏ-mē),
Surgical incision in an eschar (necrotic dermis) to lessen constriction, especially after a circumferential third-degree burn, usually performed to treat or minimize pressure injury to underlying structures.
[eschar + G. tomē, incision]

escharotomy

(ĕs′kə-rŏt′ə-mē)
n.
Surgical incision into a burn eschar to lessen its pull on the surrounding tissue.

escharotomy

[es′kärot′əmē]
a surgical incision into necrotic tissue resulting from a severe burn. The procedure is sometimes necessary to prevent edema from generating sufficient interstitial pressure to impair capillary filling, causing ischemia.
enlarge picture
Escharotomy

escharotomy

Surgery An incision into an encircling scar–eg, of a 3rd degree burn to an extremity, to lessen the pressure on neurovascular structures

es·cha·rot·o·my

(es'kă-rot'ŏ-mē)
Surgical incision in an eschar to lessen constriction, as might be done following a burn.
[eschar + G. tomē, incision]

escharotomy

surgical incision of the eschar and superficial fascia of a circumferentially burned limb in order to permit the cut edges to separate and restore blood flow to unburned tissue distal to the eschar. Edema may form beneath the inelastic eschar of a full-thickness burn and compress arteries, thus impairing blood flow and necessitating an escharotomy. The incision is protected from infection with the same antimicrobial agent being used on the burn wound.
Mentioned in ?
References in periodicals archive ?
Procedures included escharotomy, dressing changes, application of a biosynthetic skin substitute or allograft, skin grafting or wound preparation for subsequent grafting, anaesthetic services for placement of central lines, evaluation of inhalational injury, removal of surgical clips, and wound preparation of septic or neglected burns.
Standard surgical techniques were used for tangential or fascial excisions, escharotomy, wound debridement and applications of synthetic skin substitutes or allografts.
Two required operative intervention, including burn debridement (case 1), split thickness skin graft (case 1), and escharotomy (case 3).
Escharotomy was done in four patients having circumferentially upper limb burns.
In this context, while continued ventilation, sedation and fluid resuscitation with the intent of supporting the end-of-life needs of family and patient were considered by both teams to be acceptable, more invasive interventions such as external cardiac massage in the event of cardiac arrest or surgical escharotomy in the event of abdominal compartment syndrome or burns-restricted ventilation were not deemed appropriate.
Escharotomy was performed in a significantly higher proportion of patients in the AG (34.
Renal failure 18 6 1 y/o M Abdominal rhabdomyosarcoma Respiratory failure 23 7 3 y/o F 70% TBSA burn s/p Escharotomy (abdomen, chest, extremities) 19 8 8 y/o M Arthrogriposis, Septic shock, GI Obstruction, UGIB; Seizures, Respiratory failure 24 9 3 m/o M BPDSeptic Shock, MSOF 22 10 8 m/o M Caudal Regression Syndrome with Respiratory arrest due to UAO, Septic Shock, MSOF, Budd Chiari 21 Patient # Diagnosis Treatment Outcome 1 60% TBSA burn and inhalation injury, ARDS Laparotomy Died 2 GI obstruction with dysmotility Septic shock, MSOF Laparotomy Died 3 Kwashiorkor, zinc deficiency Septic Shock Abdominal tube Survived 4 BPD; NEC, Septic Shock Abdominal tube Survived 5 Neuroblastoma s/p nephrectomy.
Edema occurs frequently with second- and third-degree burns and may even require intervention in the form of escharotomy.
All extremity pulses were carefully assessed and escharotomy sites examined.
The recipient burn area is prepared routinely by escharotomy and/or debridement and meticulous haemostasis.
The concept of an escharotomy for a burn eschar may fall short of adequate decompression of burnt tissues, necessitating frequent re-assessment and possible conversion of an eschar release to a fascial release.