Manejo de heridas traumáticas de difícil cicatrización con colgajos microvasculares.
| Autor: | Ciudad, Pedro, Vargas, Maria I, Castillo-Soto, Ana, Sanchez, Jefferson R, Manrique, Oscar J, Bustos, Samyd S, Forte, Antonio J, Huayllani, Maria T, Soto, Zoila, Grández-Urbina, J Antonio |
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| Jazyk: | španělština |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Journal of wound careEngland. |
| Druh dokumentu: | Článek |
| ISSN: | 0969-0700 |
| DOI: | 10.12968/jowc.2020.29.LatAm_sup_2.27 |
| Popis: | El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado. Objective: Present different flap alternatives when performing microvascular free-flap reconstruction in acute hard-to-heal wounds. Method: A retrospective review of patients whose acute hard-to-heal wounds were treated with microvascular free-flap reconstruction. Data on demographics, wound aetiology, diagnostic, previous treatment, free-flap type, free-flap size, complications and follow up were analysed. Results: A total of 20 patients received microvascular free-flap reconstruction. The median age was 39.5 years. Twenty free-flap reconstructions were performed. These included: 3 cross-leg free flap, 1 cross-leg vascular cable bridge flap, 2 fibula osteocutaneous flap, 6 anterolateral thigh (ALT) flap, 3 thoracodorsal artery perforator (TDAP) flap, 3 fasciomyocutaneous flap, and 2 femoral artery fasciocutaneous flap. A patient required microvascular anastomosis due to hematoma; the rest did not present complications during their postoperative. Previous treatment included negative pressure wound therapy (12 patients) and surgical debridement with silver hydrogel dressings (8 patients). Conclusion: Hard-to-heal wounds can be unresponsive to traditional wound healing practices or local flaps. They often require free-flap reconstruction, using tissues similar to those compromised. Microvascular techniques can be an effective alternative. CONFLICT OF INTEREST None. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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