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was closed via autodermoplasty (Figures 3–7). The postoper-
ative course was without complications, and the supporting
function of the limb was restored.

FIGURE 7 Closure of a soft
tissue defect associated with
tourniquet syndrome.
FIGURE 3 Pronounced muscle swelling
in a patient with tourniquet syndrome.

generation hemostatic tourniquet was used. Extensive necrosis
was the main reason for amputation after prolonged tourni-
quet application.

Conclusion
FIGURE 4 Preparation of a skin flap
for plastic surgery. When the tourniquet is applied correctly, duration of use
should not exceed 2 hours. Prompt triage and evacuation of
injured combatants can save affected limbs, even when the du-
ration of tourniquet use exceeds the recommended safety limit.
The use of a hemostatic tourniquet can prevent the occurrence
of tourniquet syndrome.

Author Contributions
IMS and EMK conceived the study. IMS and EMK devised
the methodology, and IMS validated it. YMV performed the
formal analysis, and all three authors participated in the Inves-
FIGURE 5 Autodermoplasty tigation. IMS and EMK secured resources for the study. YMV
performed data curation. All three authors wrote the original
draft, and IMS and YMV reviewed and edited it. YMV visual-
ized the data. IMS and EMK supervised the study, and EMK
handled project administration.

Disclosures
Authors have nothing to declare.

Funding
No funding was received for this work.

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