Atuação da cirurgia plástica no tratamento de feridas complexas

Coltro, Pedro Soler; Ferreira, Marcus Castro; Batista, Bernardo Pinheiro de Senna Nogueira; Nakamoto, Hugo Alberto; Milcheski, Dimas André; Júnior, Paulo Tuma

doi:10.1590/s0100-69912011000600003

Cited by 32 publications

(21 citation statements)

References 28 publications

(38 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…T rauma is one of the main causes of preventable death and one of the main mechanisms of complex wound formation affecting young adults and a large part of the economically active population 1 .…”

Section: Introductionmentioning

confidence: 99%

Lower extremity reconstruction: epidemiology, management and outcomes of patients of the Federal District North Wing Regional Hospital

Macedo¹,

Rosa

Botelho³

et al. 2017

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

Objective: to evaluate the management of lower limbs complex traumatic injuries by analyzing their characteristics, types, conduct and evolution, with emphasis on surgical treatment. Methods: we conducted a prospective study of patients treated by Plastic Surgery at a regional hospital of the Federal District during a one-year period. We collected data through serial evaluations and telephone contact records. Results: we studied 40 patients, with a mean age of 25.6 years, predominantly male (62.5%). The most frequent wounds were of the distal third of the lower limb (37.5%). Bone or tendon exposures occurred in 55% had and there was a 35% rate of exposed lower limb fractures. The treatments employed were skin grafting (57.5%), local fasciocutaneous flap (15%), muscle flap (12.5%), cross-leg fasciocutaneous flap, reverse sural flap (12.5%) and microsurgical flap (2.5%). Short-term evaluation showed that 35 patients had excellent or good results (87.5%), four had a regular result (10%), and one had an unsatisfactory result (2.5%). In the long term, of the 18 patients who answered the questionnaire, ten resumed walking, even with support, in the first three months after surgery (55.6%). Conclusion: young men involved in motorcycle accidents during leisure time represented the profile of patients with lower limb trauma requiring surgical reconstruction; the distal third of the leg was the most affected region. Grafting was the most used technique for reconstruction and postoperative functional evaluation showed that, despite complex lesions, most patients evolved with a favorable healing process and successful functional evolution.

show abstract

Section: Introductionmentioning

confidence: 99%

Lower extremity reconstruction: epidemiology, management and outcomes of patients of the Federal District North Wing Regional Hospital

Macedo¹,

Rosa

Botelho³

et al. 2017

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

show abstract

“…Thus, the extremities are now more likely to be recovered 3 . In cases where the extremity cannot be recovered, the amputation stump can be covered with soft tissues to support the prosthesis, allowing functional gait and maximum functional capacity 4 .…”

Section: Discussionmentioning

confidence: 99%

“…In cases where the extremity cannot be recovered, the amputation stump can be covered with soft tissues to support the prosthesis, allowing functional gait and maximum functional capacity 4 . Therefore, besides the need to cover the wound, there is also a need to allow mobility of the joints, normal ambulation and return of the individual to normal activities 3,5 .…”

Section: Discussionmentioning

confidence: 99%

“…At that moment, surgical debridement alone or associated with vacuum therapy is fundamental 3 . Negative pressure therapy on the lower limb loss bed controls edema, reduces exudate, decreases bacterial population, stimulates the formation of granulation tissue, and increases vascularization in the wound bed [13][14][15][16][17] .…”

Section: Discussionmentioning

confidence: 99%

“…Negative pressure therapy on the lower limb loss bed controls edema, reduces exudate, decreases bacterial population, stimulates the formation of granulation tissue, and increases vascularization in the wound bed [13][14][15][16][17] . It has become an important adjuvant method in the treatment of complex wounds and should integrate the surgeons' therapeutic arsenal 3,18 . The application of negative pressure therapy should be done in a clean wound, without devitalized tissue or after adequate debridement, being useful in the treatment of acute traumatic wounds, acting as a bridge between the emergency treatment and the definitive skin cover 19 .…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Epidemiological profile and treatment of substance losses by trauma to the lower limbs

Rezende¹,

Macedo²,

Rosa³

et al. 2017

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

Objectives: to evaluate the epidemiological profile, the surgical treatment and the postoperative results of patients with complex traumatic injuries to the lower limbs. Methods: we conducted a retrospective study of patients with traumatic complex injuries treated by the Plastic Surgery Service of a regional hospital in Brasília. We analyzed clinical-epidemiological data, type of surgical procedure and functional recovery of the limb after six months of treatment. Results: 119 patients were treated, with a mean age of 29 years, predominantly men (76.4%). Motorcycle accident was responsible for most of the injuries, in 37.8% of cases. The most frequent surgical treatment was skin grafting (62.1%), followed by the fasciocutaneous flap (21.9%), muscular flap (12.6%) and microsurgical flap (3.4%). Six months after completion of the surgical treatment, 35.3% of the patients needed crutches to move, characterizing a delay in limb functional recovery that, however, was significantly related to the presence of fractures, external fixation or bone exposure in the preoperative period. Conclusion: the profile of the patient with complex traumatic lower limb injury was a male, motorcycle accident victim, and grafting was the most used treatment. Orthopedic trauma with bone fracture, bone exposure and the presence of external fixator were significantly associated with a higher risk of limb functional impairment, requiring locomotion crutches after six months of treatment.

show abstract

Chimerical anterolateral thigh flap for plantar reconstruction

et al. 2015

View full text Add to dashboard Cite

show abstract

Atuação da cirurgia plástica no tratamento de feridas complexas

Abstract: The plastic surgeon played an important role in the treatment of complex wounds by adopting early surgical treatment, contributing to the effective resolution of cases.

Cited by 32 publications

References 28 publications

Lower extremity reconstruction: epidemiology, management and outcomes of patients of the Federal District North Wing Regional Hospital

Lower extremity reconstruction: epidemiology, management and outcomes of patients of the Federal District North Wing Regional Hospital

Epidemiological profile and treatment of substance losses by trauma to the lower limbs

Chimerical anterolateral thigh flap for plantar reconstruction

Contact Info

Product

Resources

About