Manejo de heridas traumáticas de difícil cicatrización con colgajos microvasculares.
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Vargas, Maria I
Sanchez, Jefferson R
Manrique, Oscar J
Bustos, Samyd S
Forte, Antonio J
Huayllani, Maria T
Grández-Urbina, J Antonio
heridas de difícil cicatrización
microvascular free flap
negative pressure wound therapy
terapia de presión negativa
MetadataShow full item record
Other TitlesMicrovascular free-flap reconstruction in acute hard-to-heal wounds
PublisherMA Healthcare Ltd
JournalJournal of wound care
AbstractObjective: 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.
DescriptionEl texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.
- Manejo de heridas traumáticas de difícil cicatrización con colgajos microvasculares.
- Authors: Ciudad P, Vargas MI, Castillo-Soto A, Sanchez JR, Manrique OJ, Bustos SS, Forte AJ, Huayllani MT, Soto Z, Grández-Urbina JA
- Issue date: 2020 Oct 1
- Complications and Impact on Quality of Life of Vertical Rectus Abdominis Myocutaneous Flaps for Reconstruction in Pelvic Exenteration Surgery.
- Authors: van Ramshorst GH, Young JM, Solomon MJ
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- [Clinical application of lobulated transplantation of free anterolateral thigh perforator flap in the treatment of electric burns of limbs].
- Authors: Zhang W, Xie WG, Yang F, Zhang WD, Chen L
- Issue date: 2019 Nov 20
- Algorithm for Free Perforator Flap Selection in Lower Extremity Reconstruction Based on 563 Cases.
- Authors: Abdelfattah U, Power HA, Song S, Min K, Suh HP, Hong JP
- Issue date: 2019 Nov
- [Clinical effect of free anterolateral thigh flap in repairing large annular soft tissue defect of lower leg after burn].
- Authors: Xia CD, Di HP, Xing PP, Xue JD, Cao DY, Tian SM, Wang LM, Feng K, Zhao YH
- Issue date: 2019 Apr 20