Ask Dr. Z

"The skin over the left popliteal fossa region was incised in a lazy "S" configuration, the wound was deepened with cautery, and the tibial nerve identified and preserved with a vessel loop. The bypass graft was located, and skeletonized proximally and distally. The area of concern over the medial femoral condyle was exposed. It appeared to compress over slip of muscle and become this with leg in full extension. The area beneath this, acting as a fulcrum, was the popliteus muscle, which was then divided with cautery. It arose from between the gastrocs and traveled to the medial condyle. Then, the adject medial head of the gastroc was divided with cautery near the bypass, to fully decompress this region, and allow the graft more room. Repeat extension showed no bypass compression, and Doppler insonation of the PT did not change with this maneuver as well. This completed the decompression. All areas were made hemostatic." Would this be an exploration, decompression fasciotomy, revision, or something else?