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2020, Number 3

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Revista Cubana de Cirugía 2020; 59 (3)

Outcomes of surgical treatment of pressure ulcers using local flaps

Siñani DWR, Cairos BJN, Tamayo CAM
Full text How to cite this article

Language: Spanish
References: 12
Page: 1-11
PDF size: 490.56 Kb.


Key words:

pressure ulcer, ulcer reconstruction, flaps, paraplegias.

ABSTRACT

Introduction: Pressure ulcers are continuity solutions that appear on the skin that covers bony prominences, when these bear continuous external pressure that interferes with correct blood circulation and nutrition of tissues.
Objective: To evaluate the outcomes of surgical treatment of pressure ulcers using different types of local flaps.
Methods: A descriptive, ambispective and longitudinal study was carried out. The population consisted of all the patients who presented diagnosis of pressure ulcer with surgical criteria. The sample consisted of 72 patients, with a total of 84 pressure ulcers, who met the inclusion criteria.
Results: The male sex predominated in the study, together with the age range 19-29 years. Sacral ulcers were the most frequent and largest, and the most used flap for closure was the rotation and advancement flap. Satisfactory outcomes were obtained in 82.5% of the cases.
Conclusions: Adequate tissue coverage and padding of the area was achieved, as well as the absence of complications that interfered with the final outcomes.


REFERENCES

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  2. Alfonso Coto JC. Cirugía reconstructiva de las úlceras por presión. Rev Cubana Cir. 2007 Sep [acceso 22/07/2019];46(3):0 Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932007000300004&lng=es

  3. Bamba R, Madden JJ, Hoffman AN, Kim JS, Thayer WP, Nanney LB, et al. Flap Reconstruction for Pressure Ulcers: An Outcomes Analysis. Plastic and Reconstructive Surgery Global Open. 2017;5(1):e1187. DOI: https://doi.org.10.1097/GOX.0000000000001187

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  10. Liu X, Lu W, Zhang Y, Liu Y, Yang X, Liao S, et al. Application of gluteus maximus fasciocutaneous V-Y advancement flap combined with resection in sacrococcygeal pressure ulcers. Medicine. 2017;96(47):e8826. DOI: https://doi.org.10.1097/MD.0000000000008829

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Revista Cubana de Cirugía. 2020;59