Negative Pressure Wound Therapy Applied in Acute Compartment Syndrome Following Delayed Femoral Artery Repair after Gunshot Injury: A Case Report

Acute compartment syndrome (ACS) is an urgent surgical condition that requires the opening of the facial compartments. In this situation, the perfusion pressure in the tissues is insufficient to supply the metabolic demand and hypoxic cell damage may occur. The vascular pressure gradient required for adequate tissue perfusion is reconstructed with fasciotomy. There are a number of studies showing that negative pressure wound therapy (NPWT) can be used as an effective and safe treatment following open fasciotomy after ACS. However, in some cases it is not recommended to use it. NPWT sponges should not touch exposed veins, nerves, organs and anastomosis areas. In this study, we shared our experience with NBYT with a protective-occlusive dressing of the arterial system, modification of the treatment modality and close follow-up in the patient who underwent vascular repair and developed ACS after gunshot injury