Correlación entre injerto mallados y no mallados como coberturas cutáneas en pacientes quemados. Hospital del Niño Francisco de Ycaza Bustamante, enero-diciembre 2015
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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A nivel mundial las quemaduras implican un grave problema de salud pública por requerir altos recursos para el tratamiento generalmente prolongado, estas lesiones dérmicas requieren manejo multidisciplinario, cuando son de segundo y tercer grado que implican perdida de sustancia, ameritan cobertura cutánea con injerto libre de piel . Las utilidades de injertos mallados son diversos especialmnete en el campo de la Virugía Plástica. La diferencia notable entre injertos mallados y no mallados es la calidad de epitelización posterior al tratamiento. El propósito de esta investigación radica en establecer la correlación entre los injertos de piel mallados y no mallados, especificando los beneficios y/o desventajas del uso en pacientes quemados. Hospital del Niño Francisco Icaza Bustamante de enero a diciembre del año 2015. Realizando énfasis en los resultados estético de ls coberturas cutáneas con pautas de cuidados establecidos a nivel hospitalario y domiciliario. La metodología es de tipo descriptivo no experimental transversal, el diseño es correlacional. El universo fue 136 y la muestra 43 pacientes a los cuales se les realizo injertos mallados y no mallados 64% fueron hombres, el grupo etario que recibió más injertos fueron los niños entre 5 y 10 años con 52.3% con promedio de 8.9 años, el 20. 93% se realizó injerytos mallados y no mallados el 34.88% los resultados a nivel estético fueron más satisfactorios los no mallados pero los mallados minimizan la zona donante y son excelente opción en pacientes gran quemados. Es recomendable cubrir las zonas cruentas a la brevedad posible disminuir el riesgo de infección y número de cirugía
Worldwide burns involve a serious public health problem because they require high resources for long-term treatment, these dermal lesions require multidisciplinary management, when they are second and third degree that involve loss of substance, require skin coverage with free skin graft . The utilities of meshed grafts are diverse especially in the field of Plastic Surgery. The notable difference between meshed and non-meshed grafts is the quality of epithelization after treatment. The purpose of this investigation is to establish the correlation between meshed and non-meshed skin grafts, specifying the benefits and / or disadvantages of use in burned patients. Hospital Francisco Icaza Bustamante Child from January to December 2015. Emphasizing the aesthetic results of ls cutaneous coverage with care guidelines established at hospital and home level. The methodology is descriptive, non-experimental transversal, the design is correlational. The universe was 136 and the sample was 43 patients who underwent mesh and non-mesh grafts 64% were men, the age group that received the most grafts were children between 5 and 10 years with 52.3% with an average of 8.9 years, the 20. 93% were injected meshed and not meshed 34.88% the results at the aesthetic level were more satisfactory non-meshed but the mesh minimizes the donor area and are excellent option in patients burned large. It is advisable to cover the bloody areas as soon as possible to reduce the risk of infection and number of surgery
Worldwide burns involve a serious public health problem because they require high resources for long-term treatment, these dermal lesions require multidisciplinary management, when they are second and third degree that involve loss of substance, require skin coverage with free skin graft . The utilities of meshed grafts are diverse especially in the field of Plastic Surgery. The notable difference between meshed and non-meshed grafts is the quality of epithelization after treatment. The purpose of this investigation is to establish the correlation between meshed and non-meshed skin grafts, specifying the benefits and / or disadvantages of use in burned patients. Hospital Francisco Icaza Bustamante Child from January to December 2015. Emphasizing the aesthetic results of ls cutaneous coverage with care guidelines established at hospital and home level. The methodology is descriptive, non-experimental transversal, the design is correlational. The universe was 136 and the sample was 43 patients who underwent mesh and non-mesh grafts 64% were men, the age group that received the most grafts were children between 5 and 10 years with 52.3% with an average of 8.9 years, the 20. 93% were injected meshed and not meshed 34.88% the results at the aesthetic level were more satisfactory non-meshed but the mesh minimizes the donor area and are excellent option in patients burned large. It is advisable to cover the bloody areas as soon as possible to reduce the risk of infection and number of surgery
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Quemaduras, Trasplante de piel, Hospital del Niño Francisco de Icaza Bustamante, Cantón Guayaquil, Ecuador