Manejo de heridas traumáticas de difícil cicatrización con colgajos microvasculares.
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Authors
Ciudad, PedroVargas, 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
Issue Date
2020-10Keywords
colgajo microvascularhard-to-heal wounds
heridas de difícil cicatrización
microvascular free flap
negative pressure wound therapy
reconstrucción
reconstruction
terapia de presión negativa
Metadata
Show full item recordOther Titles
Microvascular free-flap reconstruction in acute hard-to-heal woundsPublisher
MA Healthcare LtdJournal
Journal of wound careDOI
10.12968/jowc.2020.29.LatAm_sup_2.27PubMed ID
33054617Abstract
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.Type
info:eu-repo/semantics/articleRights
info:eu-repo/semantics/embargoedAccessLanguage
spaDescription
El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.ISSN
0969-0700ae974a485f413a2113503eed53cd6c53
10.12968/jowc.2020.29.LatAm_sup_2.27
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