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dc.contributor.authorCiudad, Pedro
dc.contributor.authorVargas, Maria I
dc.contributor.authorCastillo-Soto, Ana
dc.contributor.authorSanchez, Jefferson R
dc.contributor.authorManrique, Oscar J
dc.contributor.authorBustos, Samyd S
dc.contributor.authorForte, Antonio J
dc.contributor.authorHuayllani, Maria T
dc.contributor.authorSoto, Zoila
dc.contributor.authorGrández-Urbina, J Antonio
dc.date.accessioned2021-07-08T12:15:34Z
dc.date.available2021-07-08T12:15:34Z
dc.date.issued2020-10
dc.identifier.issn0969-0700
dc.identifier.pmid33054617
dc.identifier.doi10.12968/jowc.2020.29.LatAm_sup_2.27
dc.identifier.urihttp://hdl.handle.net/10757/656659
dc.descriptionEl texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.en_US
dc.description.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.en_US
dc.formatapplication/htmlen_US
dc.language.isospaen_US
dc.publisherMA Healthcare Ltden_US
dc.relation.urlhttps://www.magonlinelibrary.com/doi/abs/10.12968/jowc.2020.29.LatAm_sup_2.27en_US
dc.rightsinfo:eu-repo/semantics/embargoedAccessen_US
dc.subjectcolgajo microvascularen_US
dc.subjecthard-to-heal woundsen_US
dc.subjectheridas de difícil cicatrizaciónen_US
dc.subjectmicrovascular free flapen_US
dc.subjectnegative pressure wound therapyen_US
dc.subjectreconstrucciónen_US
dc.subjectreconstructionen_US
dc.subjectterapia de presión negativaen_US
dc.titleManejo de heridas traumáticas de difícil cicatrización con colgajos microvasculares.en_US
dc.title.alternativeMicrovascular free-flap reconstruction in acute hard-to-heal woundsen_US
dc.typeinfo:eu-repo/semantics/articleen_US
dc.identifier.journalJournal of wound careen_US
dc.source.journaltitleJournal of wound care
dc.source.volume29
dc.source.issueLatAm sup 2
dc.source.beginpage27
dc.source.endpage34
dc.source.countryEngland


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