<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922024000200013</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922024000200013</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Reconstrucción de extremidades mediante el concepto de reutilización de colgajos en un caso de necrosis distal por uso de vasoconstrictores tras shock séptico]]></article-title>
<article-title xml:lang="en"><![CDATA[Limb reconstruction using the concept of flap reuse in a case of distal necrosis due to the use of vasoconstrictors after septic shock]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sobrino Casorrán]]></surname>
<given-names><![CDATA[Alba]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martí Ayats]]></surname>
<given-names><![CDATA[Josep M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nistor]]></surname>
<given-names><![CDATA[Mirela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alós Blanco]]></surname>
<given-names><![CDATA[Manel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bernal Martínez]]></surname>
<given-names><![CDATA[Álvaro J]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Miguel Servet Servicio de Cirugía Plástica ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Miguel Servet Servicio de Cirugía Plástica ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>50</volume>
<numero>2</numero>
<fpage>203</fpage>
<lpage>210</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922024000200013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922024000200013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922024000200013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La necrosis por vasoconstrictores es una complicación rara pero muy seria que puede afectar gravemente a la funcionalidad y calidad de vida de los pacientes. La Cirugía Plástica juega un papel muy importante en el tratamiento y reconstrucción de las extremidades afectadas. La individualización de cada caso es esencial para tomar las mejores decisiones quirúrgicas. Presentamos el caso de una paciente que, tras un shock séptico de origen urológico, desarrolló necrosis acral de las 4 extremidades y fue sometida a reconstrucción quirúrgica en nuestro centro con colgajos libres introduciendo el concepto de la reutilización de los mismos para disminuir las comorbilidades asociadas. Empleamos 2 colgajos basados en perforantes de la arteria ilíaca circunfleja superficial (SCIP) para reconstruir los dedos de ambas manos y las plantas de ambos pies. Exponemos los pasos clave de cada cirugía y el resultado final de la paciente tras año y medio de seguimiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Necrosis due to vasoconstrictors is a rare but very serious complication that can seriously affect the functionality and quality of life of patients. Plastic Surgery plays a very important role in the treatment and reconstruction of affected extremities. The individualization of each case is essential to make the best surgical decisions. We present the case of a patient who, after septic shock of urological origin, developed acral necrosis of all 4 limbs and was reconstructed in our center with free flaps, introducing the concept of their reuse to reduce associated morbidities. Two superficial circumflex iliac artery perforator (SCIP)-based flaps were used to reconstruct the fingers of both hands and the soles of both feet. We explain the key steps of each surgery and the patient's final result after a year and a half of follow-up.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Shock séptico]]></kwd>
<kwd lng="es"><![CDATA[Necrosis distal]]></kwd>
<kwd lng="es"><![CDATA[Reconstrucción extremidades]]></kwd>
<kwd lng="es"><![CDATA[Reutilización colgajos.]]></kwd>
<kwd lng="en"><![CDATA[Septic shock]]></kwd>
<kwd lng="en"><![CDATA[Distal necrosis]]></kwd>
<kwd lng="en"><![CDATA[Limb reconstruction]]></kwd>
<kwd lng="en"><![CDATA[Flap reuse.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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