SciELO - Scientific Electronic Library Online

 
vol.38 número1Reconstrucción facial postraumática: Experiencia en un centro hospitalario no gubernamentalVersatilidad del colgajo de perforantes de la arteria sural y planificación quirúrgica mediante angioscanner índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Cirugía Plástica Ibero-Latinoamericana

versión impresa ISSN 0376-7892

Resumen

FERREIRO GONZALEZ, I.; GABILONDO ZUBIZARRETA, J.  y  PROUSSKAIA, E.. Artificial dermis aplications to prevent and treat hypertrofyc scars and skin retractions. Cir. plást. iberolatinoam. [online]. 2012, vol.38, n.1, pp.61-67. ISSN 0376-7892.  http://dx.doi.org/10.4321/S0376-78922012000100008.

Over the last 8 years, 517 patients were admitted to our centre with burn injuries; of these, 48 had reconstruction with artificial dermis. We present a group of 8 extensively burned patients, who were treated with Integra® during the acute and later phases to prevent and treat hypertrophic scars and contractures. The following variables were evaluated: haematoma, infection and total or partial loss of artificial dermis. The scar quality was reviewed during the postoperative period, using the Vancouver Scar Scale (VSS). Patients´ satisfaction was measured using a 0-10 score survey. None of the areas treated with artificial dermis showed adverse scarring and in patients with prior hypertrophic scars no recurrence was found. We also observed that in acute burns, the areas treated with artificial dermis developed much better scar quality compared with those areas treated with split skin grafts. We achieved satisfactory coverage in areas with tendon exposure. Artificial dermis can be selectively applied to special areas during acute burn injury to prevent scar hypertrophy and contracture. It can also be used as coverage for normally non-graftable structures less than 3 cm where skin flaps are usually required. During the chronic stage, artificial dermis can be useful to treat contractures, as well as hypertrophic scars.

Palabras clave : Artificial dermis; Burns; Skin retractions; Hypertrophic scars.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons