IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-2-18051 Original Research Paper STUDY ON BENEFITS OF EARLY FASCIOTOMY IN PATIENTS WITH CELLULITIS IN KAPV MEDICAL COLLEGE,TRICHY : A DESCRIPTIVE STUDY Dr. DR.A.JOHN AMALAN Dr. DR.MULLAI VENTHAN Dr. February 2019 8 2 01 02 ABSTRACT

 

INRODUCTION

Cellulitis  is a frequent bacterial infection of the skin and subcutaneous tissues, characterised by an area of cutaneous erythema, warmth and oedema, whose incidence is rising, and that results in substantial economic and healthcare burdens.one of the definitive treatment to prevent complications in cellulitis is fasciotomy. In this study benefits of early fasciotomy was studied by using various clinical parameters

 

MATERIALS AND METHODS,

 a descriptive study which carried out in 100 patients who were admitted in KAPV medical college hospital during one year study period.patients age less than 20 years of age,unstable patients,moribund patients, those not willing to  participate in study are excluded from study.Detailed history and clinical examination done for all patients who were admitted in patients with cellulitis Patient who underwent fasciotomy less than 12 hours of admission classified as early and who underwent fasciotomy after 12 hours of admission classified as late.The various clinical presentations and its complications of  patients with cellulitis underwent fasciotomy was studied.

 

RESULTS

         In our study in total number of 100 patients ,7.7% of patients gets progressed in to severity and complications in early fasciotomy procedure and 60.0% of patients progressed into complications in late fasciotomy .Mean duration of hospital stay in early fasciotomy is 5.6 days and 8.1 days in late fasciotomy .patients mobilized very early and the mean quality of life scale is satisfactory in early fasciotomy which was late and average respectively in late fasciotomy procedure.when compared to early fasciotomy morbidity status was increased in late fasciotomy.

CONCLUSION: Early fasciotomy is associated with improved outcomes in reducing the progression rate,early mobilization,reduced hospital stay,improves quality of life and reduces the morbidity.