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Manejo de heridas traumáticas de difícil cicatrización con colgajos microvasculares.
- Source :
-
Journal of wound care [J Wound Care] 2020 Oct 01; Vol. 29 (LatAm sup 2), pp. 27-34. - Publication Year :
- 2020
-
Abstract
- Objective: Present different flap alternatives when performing microvascular free-flap reconstruction in acute hard-to-heal wounds.<br />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.<br />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).<br />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.
Details
- Language :
- English
- ISSN :
- 0969-0700
- Volume :
- 29
- Issue :
- LatAm sup 2
- Database :
- MEDLINE
- Journal :
- Journal of wound care
- Publication Type :
- Academic Journal
- Accession number :
- 33054617
- Full Text :
- https://doi.org/10.12968/jowc.2020.29.LatAm_sup_2.27