Evaluating the Efficacy of Multilayered Light Compression Therapy in Fasciotomy Wound Closure in Patients Who Underwent Revascularization Procedures: A Case Series and Literature Review

Abstract

Delayed primary closure is considered standard of care for patients undergoing lower extremity (LE) 4 compartment skin fasciotomies after revascularization for acute limb ischemia (ALI). At our institution, multilayer light compression therapy (MLCT) is used after failure of an initial attempt of delayed primary closure. To assess the efficacy of MLCT as an alternative for wound closure, this strategy was compared with historical controls from negative wound pressure therapy (NWPT). It was hypothesized that our system would be effective and of comparable performance to end points described in the literature and valuable for reducing complications, morbidity, and operational costs associated with other approaches.