Eficacia y seguridad del tratamiento quirúrgico posterior a alogenosis iatrogénica realizado en el Centro Quirúrgico Hernán Pérez en el período 2015 - 2016
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La alogenosis iatrogénica es una enfermedad producida por sustancias alógenas producidas por personas particulares o médicos, inyectando diferentes tipos de sustancias que producen reacciones en el cuerpo por ser extrañas El silicón líquido y los aceites pueden dirigirse a otras partes corporales en especial cuando se colocan en sitios en donde por gravedad se desplazan, donde llega a involucrar zonas como el abdomen, región inguinal y las piernas incluso hasta los pies. El estudio fue realizado en Centro quirúrgico Hernán Pérez con una muestra de 50 pacientes. Objetivos Determinar la seguridad del tratamiento, posterior al uso de biopolímeros, Determinar la sustancia más utilizada que han producido alogenosis iatrogénica. Determinar el tratamiento según el estadio clínico que produce la alogenosis. Identificar el tipo de sustancia que produce el mayor número de reintervenciones quirúrgicas. Resultados La sustancia que con mayor frecuencia produjo alogenosis fue el biogel, seguido del aceite industrial y la silicona, de esta la silicona liquida fue la que produjo mayores complicaciones. La sustancia que mayor produjo reintervenciones en el 100% de los casos fue el aceite industrial, produciendo lesiones de alta complejidad. El sitio donde mayor produjeron lesiones fue en glúteo, miembro inferior y mama. Es frecuente la reintervención quirúrgica por extensión de la sustancia. Se realizó resección limitada del tejido infiltrado y cierre directo en los grados leves, en los moderados resección amplia de zona indurada con reconstrucción con colgajos musculocutáneos más material aloplástico en caso de ser necesario y en los graves cirugía paliativa con colgajos musculocutáneos con posteriores reintervenciones
Iatrogenic alogenosis is a disease produced by allogenic substances produced by individuals or doctors, injecting different types of substances that produce reactions in the body because they are strange. Liquid silicone and oils can be directed to other body parts, especially when they are placed in places where they move by gravity, where they involve areas such as the abdomen, inguinal region and legs, even the feet. The study was conducted in Hernán Pérez surgical center with a sample of 50 patients. Objectives To determine the safety of the treatment, after the use of biopolymers, Determine the most used substance that have produced iatrogenic alogenosis. Determine the treatment according to the clinical stage that produces the allogenosis. Identify the type of substance that produces the highest number of surgical reoperations. Results The substance that most frequently produced allogenosis was the biogel, followed by the industrial oil and the silicone, of this the liquid silicone was the one that produced the greatest complications. The substance that produced the most reinterventions in 100% of cases was industrial oil, producing highly complex lesions. The site where most injuries occurred was in gluteus, lower limb and breast. Surgical reoperation is frequent by extension of the substance. Limited resection of the infiltrated tissue and direct closure in the mild degrees, in the moderate wide resection of the indurated area with reconstruction with musculocutaneous flaps plus alloplastic material if necessary and in the severe palliative surgery with musculocutaneous flaps with subsequent reoperations.
Iatrogenic alogenosis is a disease produced by allogenic substances produced by individuals or doctors, injecting different types of substances that produce reactions in the body because they are strange. Liquid silicone and oils can be directed to other body parts, especially when they are placed in places where they move by gravity, where they involve areas such as the abdomen, inguinal region and legs, even the feet. The study was conducted in Hernán Pérez surgical center with a sample of 50 patients. Objectives To determine the safety of the treatment, after the use of biopolymers, Determine the most used substance that have produced iatrogenic alogenosis. Determine the treatment according to the clinical stage that produces the allogenosis. Identify the type of substance that produces the highest number of surgical reoperations. Results The substance that most frequently produced allogenosis was the biogel, followed by the industrial oil and the silicone, of this the liquid silicone was the one that produced the greatest complications. The substance that produced the most reinterventions in 100% of cases was industrial oil, producing highly complex lesions. The site where most injuries occurred was in gluteus, lower limb and breast. Surgical reoperation is frequent by extension of the substance. Limited resection of the infiltrated tissue and direct closure in the mild degrees, in the moderate wide resection of the indurated area with reconstruction with musculocutaneous flaps plus alloplastic material if necessary and in the severe palliative surgery with musculocutaneous flaps with subsequent reoperations.
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Alogenosis iatrogénica, Centro Quirúrgico Hernán Pérez, Resultado del tratamiento, Tratamiento quirúrgico, Cantón Guayaquil, Ecuador