Resumen

LLANOS, S. et al. Multilevel negative pressure in complex skin coverage. Cir. plást. iberolatinoam. [online]. 2014, vol.40, n.4, pp.421-428. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922014000400009.

Complex tissue loss secondary to traumatisms, pressure sores, degloving, etc, are a challenge when we try to choose the surgical technique to solve the problem. Every technique brings a risk of major skin coverage defect, hematoma or seroma. Based on an experimental study to measure pressure over and below a flap submitted to negative pressure, we decided to apply a vacuum system in different anatomic planes in patients with complex tissue loss. We report our experience with the use of negative pressure as external and internal (multilevel) technical support and prevention of complication in resolving 19 clinical cases of complex tissue loss: degloving, subcutaneous hematoma, pressure sores, complex flaps, extensive scarring skin loss, loxoscelism, with successful results.

Palabras clave : Negative pressure; Vacuum assisted therapy; Complex tissue defects; Complex injuries; Sores; Seroma; Flaps.

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