Pub Date : 2021-09-01DOI: 10.4321/s0376-78922021000300012
Silvia Avilés Terrero, Alejandro José Araujo Adams, José J Romero Cepín, Fernanda S Tavera Ureña
{"title":"Manejo de heridas en plexo braquial por proyectil de arma de fuego: revisión sistemática","authors":"Silvia Avilés Terrero, Alejandro José Araujo Adams, José J Romero Cepín, Fernanda S Tavera Ureña","doi":"10.4321/s0376-78922021000300012","DOIUrl":"https://doi.org/10.4321/s0376-78922021000300012","url":null,"abstract":"","PeriodicalId":38735,"journal":{"name":"Cirugia Plastica Ibero-Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49077887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-01DOI: 10.4321/s0376-78922021000300009
Javier García García, Arturo Vela Lasagabaster, Javier Ordóñez Maygua, M. S. Segovia González, Pablo Benito Duque
shaft coverage was successfully accomplished with an innovative modification in the design of the pudendal thigh fasciocutaneous flap.
轴覆盖成功地完成了创新的修改设计的阴部大腿筋膜皮瓣。
{"title":"Colgajo fasciocutáneo pudendo bilateral para cobertura de tronco del pene: nuevo diseño e indicación","authors":"Javier García García, Arturo Vela Lasagabaster, Javier Ordóñez Maygua, M. S. Segovia González, Pablo Benito Duque","doi":"10.4321/s0376-78922021000300009","DOIUrl":"https://doi.org/10.4321/s0376-78922021000300009","url":null,"abstract":"shaft coverage was successfully accomplished with an innovative modification in the design of the pudendal thigh fasciocutaneous flap.","PeriodicalId":38735,"journal":{"name":"Cirugia Plastica Ibero-Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42044523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-01DOI: 10.4321/s0376-78922021000300004
Rafael E Estévez Hernández, Smarlyn M Batista Gómez
{"title":"Osteomielitis costal múltiple tras mamoplastia de aumento. Caso clínico","authors":"Rafael E Estévez Hernández, Smarlyn M Batista Gómez","doi":"10.4321/s0376-78922021000300004","DOIUrl":"https://doi.org/10.4321/s0376-78922021000300004","url":null,"abstract":"","PeriodicalId":38735,"journal":{"name":"Cirugia Plastica Ibero-Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42639274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
* Residente de Cirugía Plástica, Maxilofacial y de la Mano, Universidad de Antioquia, Medellín, Colombia. ** Médico General, Universidad de los Andes, Bogotá, Colombia. *** Cirujano Plástico Oncólogo, Pontificia Universidad Javeriana, Instituto Nacional de Cancerología. Mágister en Epidemiología Clínica Universidad de Antioquia. Docente Sección de Cirugía Plástica, Facultad de Medicina, Universidad de Antioquia. Cirujano Plástico Hospital Universitario de San Vicente Fundación, Medellín, Colombia Resumen Abstract Cir. plást. iberolatinoam.-Vol. 47 No 3 Julio Septiembre 2021 / Pag. 323-332 http://dx.doi.org/10.4321/S0376-78922021000300014
*哥伦比亚安蒂奥基亚大学整形、颌面和手部外科住院医师，medellin。**哥伦比亚洛斯安第斯大学全科医生，bogota。***整形外科肿瘤学家，Pontificia Javeriana大学，国家癌症研究所。安蒂奥基亚大学临床流行病学硕士。安蒂奥基亚大学医学院整形外科教授。整形外科医生圣维森特大学医院基金会，medellin，哥伦比亚iberolatinoam.-Vol。47 No 37月9日2021 /页323-332 http://dx.doi.org/10.4321/S0376-78922021000300014
{"title":"Epidemiología del trauma de miembro superior atendido en seis instituciones de salud de la ciudad de Medellín, Colombia, en 2016","authors":"Elsy Margarita Bitar Benítez, Sebastián Gaviria Posada, Nathalia de León Fernández, Sabrina Gallego Gónima","doi":"10.4321/s0376-78922021000300014","DOIUrl":"https://doi.org/10.4321/s0376-78922021000300014","url":null,"abstract":"* Residente de Cirugía Plástica, Maxilofacial y de la Mano, Universidad de Antioquia, Medellín, Colombia. ** Médico General, Universidad de los Andes, Bogotá, Colombia. *** Cirujano Plástico Oncólogo, Pontificia Universidad Javeriana, Instituto Nacional de Cancerología. Mágister en Epidemiología Clínica Universidad de Antioquia. Docente Sección de Cirugía Plástica, Facultad de Medicina, Universidad de Antioquia. Cirujano Plástico Hospital Universitario de San Vicente Fundación, Medellín, Colombia Resumen Abstract Cir. plást. iberolatinoam.-Vol. 47 No 3 Julio Septiembre 2021 / Pag. 323-332 http://dx.doi.org/10.4321/S0376-78922021000300014","PeriodicalId":38735,"journal":{"name":"Cirugia Plastica Ibero-Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48725372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-01DOI: 10.4321/s0376-78922021000300008
C. Gaspar, Marta Azevedo, G. Coelho, Horácio Zenha, Horácio Costa
ranging in age from 27 to 86 years. The main etiology of the defects was traumatic injury. The defects located between the distal third of the thigh and the proximal third of the leg were cove red with pediculated flaps while the distal defects were covered with free flaps. Results. The mean flap dimensions were 6.35 cm width, 10.9 cm length, and 9.9 cm pedicle length. All flaps except 1 were raised with a single perfo - rator. Apart from 1 case of partial free-flap loss, there were no short-term com - plications. Two patients required skin grafting of the donor site while the remai ning were closed directly. The mean follow-up time was 22.8 months and there were no donor site complaints. A stable and aesthetically satisfactory coverage was obtained in all cases. Conclusions. The MSAP flap is a thin and pliable fasciocutaneous flap that can provide “like-with-like” tissue with minor donor site morbidity in lower limb reconstruction. Less positive characteristics include a potential laborious intramuscular dissection and occasional venous congestion. Still, the good re-sults and satisfaction of the patients make this a wise choice in selected cases.
{"title":"Colgajo sural medial en la reconstrucción de miembro inferior","authors":"C. Gaspar, Marta Azevedo, G. Coelho, Horácio Zenha, Horácio Costa","doi":"10.4321/s0376-78922021000300008","DOIUrl":"https://doi.org/10.4321/s0376-78922021000300008","url":null,"abstract":"ranging in age from 27 to 86 years. The main etiology of the defects was traumatic injury. The defects located between the distal third of the thigh and the proximal third of the leg were cove red with pediculated flaps while the distal defects were covered with free flaps. Results. The mean flap dimensions were 6.35 cm width, 10.9 cm length, and 9.9 cm pedicle length. All flaps except 1 were raised with a single perfo - rator. Apart from 1 case of partial free-flap loss, there were no short-term com - plications. Two patients required skin grafting of the donor site while the remai ning were closed directly. The mean follow-up time was 22.8 months and there were no donor site complaints. A stable and aesthetically satisfactory coverage was obtained in all cases. Conclusions. The MSAP flap is a thin and pliable fasciocutaneous flap that can provide “like-with-like” tissue with minor donor site morbidity in lower limb reconstruction. Less positive characteristics include a potential laborious intramuscular dissection and occasional venous congestion. Still, the good re-sults and satisfaction of the patients make this a wise choice in selected cases.","PeriodicalId":38735,"journal":{"name":"Cirugia Plastica Ibero-Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42377490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-01DOI: 10.4321/s0376-78922021000300013
A. Tavera, A. Neira, F. Y. Peña, Minyor Avellaneda, José Luis Osma-Rueda
distribution along its path, showing variation in branching patterns for the biceps and brachialis muscle. Anatomical varia - tions such as the junction with the median nerve are found in a presentation similar to those reported worldwide.
{"title":"Variaciones anatómicas del nervio musculocutáneo en una muestra de población colombiana. Estudio en cadaver","authors":"A. Tavera, A. Neira, F. Y. Peña, Minyor Avellaneda, José Luis Osma-Rueda","doi":"10.4321/s0376-78922021000300013","DOIUrl":"https://doi.org/10.4321/s0376-78922021000300013","url":null,"abstract":"distribution along its path, showing variation in branching patterns for the biceps and brachialis muscle. Anatomical varia - tions such as the junction with the median nerve are found in a presentation similar to those reported worldwide.","PeriodicalId":38735,"journal":{"name":"Cirugia Plastica Ibero-Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43198254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aunque existe abundante literatura sobre las distintas complicaciones de los colgajos libres, la descripción de necrosis superficial completa en colgajos libres es escasa. Presentamos un caso de reconstrucción postraumática de pie con colgajo libre de músculo gracilis, que en el postoperatorio desarrolló una escara oscura y seca que cubría toda su superficie y semejaba una pérdida total del colgajo. Sin embargo, el pedículo del colgajo mantuvo en todo momento un tono activo en ecografía doppler, por lo que se decidió un manejo expectante. De manera diferida, se realizó cirugía de revisión con desbridamiento de la escara y del tejido necrótico superficial a los 21 días, descubriendo tejido sano del colgajo subyacente, que fue injertado. Posteriormente, el colgajo mostró una evolución favorable con una buena integración del injerto. Aunque en nuestro paciente no se identificó la causa exacta de esta complicación, se discuten las posibles etiologías con especial hincapié en el tabaco como factor de riesgo. Although an abundant body of literature exists on complications of free flaps, the description of complete superficial necrosis occurring in free flaps is scarce. Herein, we present a case of a post-traumatic foot reconstruction with a gracilis muscular free flap which postoperatively developed a thick dry black eschar covering its entire surface that suggested total flap loss. However, percutaneous doppler ultrasound of the flap pedicle maintained a lively tone, so an initial expectant management was decided. A delayed revision surgery was performed at day 21 with debridement of the eschar and superficial necrotic tissue uncovering underlying healthy flap tissue, which was skin-grafted. Subsequently, the flap showed good progress with good graft integration. Although the exact cause for this complication was not identified in our patient, possible etiologies are discussed with a focus on tobacco as a major risk factor.
{"title":"Necrosis superficial completa de colgajo libre: una complicación inusual","authors":"Miriam Vicente-Ruiz, Bernardo Hontanilla Calatayud","doi":"10.4321/s0376-78922021000300011","DOIUrl":"https://doi.org/10.4321/s0376-78922021000300011","url":null,"abstract":"Aunque existe abundante literatura sobre las distintas complicaciones de los colgajos libres, la descripción de necrosis superficial completa en colgajos libres es escasa. Presentamos un caso de reconstrucción postraumática de pie con colgajo libre de músculo gracilis, que en el postoperatorio desarrolló una escara oscura y seca que cubría toda su superficie y semejaba una pérdida total del colgajo. Sin embargo, el pedículo del colgajo mantuvo en todo momento un tono activo en ecografía doppler, por lo que se decidió un manejo expectante. De manera diferida, se realizó cirugía de revisión con desbridamiento de la escara y del tejido necrótico superficial a los 21 días, descubriendo tejido sano del colgajo subyacente, que fue injertado. Posteriormente, el colgajo mostró una evolución favorable con una buena integración del injerto. Aunque en nuestro paciente no se identificó la causa exacta de esta complicación, se discuten las posibles etiologías con especial hincapié en el tabaco como factor de riesgo. Although an abundant body of literature exists on complications of free flaps, the description of complete superficial necrosis occurring in free flaps is scarce. Herein, we present a case of a post-traumatic foot reconstruction with a gracilis muscular free flap which postoperatively developed a thick dry black eschar covering its entire surface that suggested total flap loss. However, percutaneous doppler ultrasound of the flap pedicle maintained a lively tone, so an initial expectant management was decided. A delayed revision surgery was performed at day 21 with debridement of the eschar and superficial necrotic tissue uncovering underlying healthy flap tissue, which was skin-grafted. Subsequently, the flap showed good progress with good graft integration. Although the exact cause for this complication was not identified in our patient, possible etiologies are discussed with a focus on tobacco as a major risk factor.","PeriodicalId":38735,"journal":{"name":"Cirugia Plastica Ibero-Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43892387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-01DOI: 10.4321/s0376-78922021000300007
Liliana Scarpinelli, Santiago Goñi
and inferior external quadrants; 12 of them, rice from axillar artery as direct branches; 6 of them, rice from collateral arteries: 4 from lateral thoracic artery, and 2 from thoracodorsal artery. Using doppler flowmetry in 30 axilas from volunteer people, we found more arteries at internal-inferior and external-superior localizations Finally, in 7 cases operated on with reconstructive surgery, the dissections rea - ched 3-4 cm length; as a result, we could not observe the origin of the vessels. Conclusions . The CPA is very useful in severe scar sequels due to burns in the chest and upper limb. The dome axillary anatomy respects it to a great extent in these patients, functioning as a donor site present in 90% of cases as an advantage over other flaps. Although it is not necessary to dissect to the origin of the perforator, knowing its origin provides greater security since the burned tissue does not respect normal anatomy. Our study provides greater precision in the marking and finding of perforators to accelerate their dissection, obtain a longer pedicle to reach distant areas and replace a larger tissue surface.
{"title":"Bases anatomicas y quirúrgicas del colgajo de perforante axilar","authors":"Liliana Scarpinelli, Santiago Goñi","doi":"10.4321/s0376-78922021000300007","DOIUrl":"https://doi.org/10.4321/s0376-78922021000300007","url":null,"abstract":"and inferior external quadrants; 12 of them, rice from axillar artery as direct branches; 6 of them, rice from collateral arteries: 4 from lateral thoracic artery, and 2 from thoracodorsal artery. Using doppler flowmetry in 30 axilas from volunteer people, we found more arteries at internal-inferior and external-superior localizations Finally, in 7 cases operated on with reconstructive surgery, the dissections rea - ched 3-4 cm length; as a result, we could not observe the origin of the vessels. Conclusions . The CPA is very useful in severe scar sequels due to burns in the chest and upper limb. The dome axillary anatomy respects it to a great extent in these patients, functioning as a donor site present in 90% of cases as an advantage over other flaps. Although it is not necessary to dissect to the origin of the perforator, knowing its origin provides greater security since the burned tissue does not respect normal anatomy. Our study provides greater precision in the marking and finding of perforators to accelerate their dissection, obtain a longer pedicle to reach distant areas and replace a larger tissue surface.","PeriodicalId":38735,"journal":{"name":"Cirugia Plastica Ibero-Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42625978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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