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2017, Número 2

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Cir Plast 2017; 27 (2)


Reconstrucción microquirúrgica en la avulsión de pared abdominal postraumática: reporte de un caso

Salazar VI, Priego BR, Villanueva MA, Rogel RJF, Romero EJF, Moreno IDA

Idioma: Español
Referencias bibliográficas: 20
Paginas: 79-83
Archivo PDF: 256.88 Kb.


RESUMEN

Los defectos gigantes en la pared abdominal son un desafío en el manejo y tratamiento reconstructivo para los cirujanos plásticos. Dentro de las causas más frecuentes están las congénitas y adquiridas, como los defectos herniarios, accidentes viales, heridas por arma de fuego y explosivos. Distintas formas de reconstrucción han evolucionado a través del tiempo desde el uso de mallas, colgajos locales y el uso de colgajos musculocutáneos libres están tomando un papel importante en la reconstrucción. Los objetivos de la reconstrucción son la protección de órganos intraabdominales, integridad de la pared abdominal y tener una buena calidad de cobertura cutánea. Múltiples colgajos libres para reconstrucción de pared abdominal se han utilizado como dorsal ancho y colgajo anterolateral de muslo. Con éstos es posible la resolución de los grandes defectos de la pared abdominal con un solo procedimiento quirúrgico.


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