Decompression Dermotomy

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Abstract
Two cases illustrate the detrimental effects of calf hypertension which appeared to be solely due to compression of venous and lymphatic outflow by the skin. An adjunctive technique of multiple skin incisions was used with satisfactory results. A wider application of this approach seems warranted both to assess its efficacy further and to identify more precisely those patients in whom such a technique will be helpful. A distinction is made between open fasciotomy, where the skin incision is made to facilitate and ensure complete fascial division, and decompression dermotomy, which is done after closed fasciotomy in settings where calf edema progresses beyond the facility of fasciotomy alone to control it.

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