Estudio comparativo entre amnios y mallas permanentes en zona donante del paciente quemado trabajo a realizar : Hospital Luis Vernaza durante el período 2015 - 2016
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
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La zona donante es de donde se extraen injertos para cubrir las zonas quemadas. Los injertos son un fragmento de dermis y epidermis carente de su aporte sanguíneo, el cual se trasplanta a otra zona denominada lecho receptor. La zona donante de injertos de piel parcial es considerada una quemadura de profundidad intermedia (segundo superficial), que si bien reepitelizará espontáneamente, tardará un periodo no menor a 2 semanas, tiempo en el cual la contaminación es un peligro latente, sin olvidar el malestar que una nueva zona sangrienta produce en un paciente ya lesionado . Es importante mantener la zona donante protegida hasta su nueva epitelización, vigilando la presencia de hemorragia, reforzando con nuevas compresas y aplicando un vendaje compresivo, si el caso lo amerita. Es importante vigilar la presencia de coágulos y retirarlos para evitar infecciones. Por ningún motivo se debe levantar la cobertura sintética temporal hasta la semana tres, se debe recortar y retirar las grapas de fijación como se vaya desprendiendo sola. El beneficio del uso de la membrana amniótica como cobertura biológica temporal facilita la epitelización en quemaduras de espesor parcial, disminuye el dolor al aislar las lesiones del medio externo y por la presencia de factores antiinflamatorios. El beneficio de los apósitos convencionales es el fácil accesoy el bajo costo. Para esta investigación se consideró a 85 pacientes de la Unidad de Quemados del Hospital Luis Vernaza de la ciudad de Guayaquil a quienes se les aplicó dos tipos de procedimientos: Amnios y Apósitos convencionales. El estudio aplicado determinó que el Amnios es la cobertura biológica adecuada en zona donante por su calidad de reepitelización, confort del paciente y bajo riesgo de infecciones.
The donor area is where grafts are extracted to cover the burned areas. The grafts are a fragment of dermis and epidermis devoid of its blood supply, which is transplanted to another area called recipient bed. The donor site graft partial skin is considered a burn intermediate (second surface) depth, which although re-epithelialization spontaneously take no less than two weeks’ time, time in which pollution is a latent danger, not to mention the discomfort a new bloody area occurs in an already injured patient. It is important to keep the donor area protected to its new epithelialization, monitor the presence of hemorrhage, reinforcing with new pads and applying a bandage, if the case warrants. It is important to monitor the presence of clots and remove them to prevent infection. Under no circumstances must lift the temporary synthetic coverage until week three, it should be cut and remove the mounting clips as peeling go alone. The benefit of using amniotic membrane as a temporary biological cover facilitates epithelialization in partial thickness burns, reduces pain by isolating lesions external environment and the presence of inflammatory factors. The benefit of conventional dressings is easy handling and low cost. Amnios conventional Dressings: For this study 85 patients of the Burn Unit of the Hospital Luis Vernaza city of Guayaquil who were two types of procedures applied were considered. The study determined that the Amnios applied is adequate coverage biological donor area for quality of re-epithelialization, patient comfort and low risk of infection.
The donor area is where grafts are extracted to cover the burned areas. The grafts are a fragment of dermis and epidermis devoid of its blood supply, which is transplanted to another area called recipient bed. The donor site graft partial skin is considered a burn intermediate (second surface) depth, which although re-epithelialization spontaneously take no less than two weeks’ time, time in which pollution is a latent danger, not to mention the discomfort a new bloody area occurs in an already injured patient. It is important to keep the donor area protected to its new epithelialization, monitor the presence of hemorrhage, reinforcing with new pads and applying a bandage, if the case warrants. It is important to monitor the presence of clots and remove them to prevent infection. Under no circumstances must lift the temporary synthetic coverage until week three, it should be cut and remove the mounting clips as peeling go alone. The benefit of using amniotic membrane as a temporary biological cover facilitates epithelialization in partial thickness burns, reduces pain by isolating lesions external environment and the presence of inflammatory factors. The benefit of conventional dressings is easy handling and low cost. Amnios conventional Dressings: For this study 85 patients of the Burn Unit of the Hospital Luis Vernaza city of Guayaquil who were two types of procedures applied were considered. The study determined that the Amnios applied is adequate coverage biological donor area for quality of re-epithelialization, patient comfort and low risk of infection.
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QUEMADURAS, TRASPLANTE DE PIEL, ZONA DONANTE, HOSPITAL LUIS VERNAZA, CANTON GUAYAQUIL, ECUADOR, AMNIOS