Manejo de las heridas del pie por rueda de moto con injerto libre de piel estudio realizado en el Hospital Francisco Icaza Bustamante año 2015 a 2018
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2019
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
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El trabajo es realizado en el departamento de cirugía plástica del Hospital Francisco de Icaza Bustamante de Guayaquil para poder conocer y documentar diferentes evoluciones y complicaciones en los pacientes los cuales son sometidos a trasplantes autólogos de piel debido a causas traumáticas por contacto agresivo del pie con la rueda de la moto. El injerto de piel se define como el procedimiento que aplica una porción de piel, parcial o total sobre una herida y que vivirá temporalmente hasta integrarse en su nuevo lecho por inhibición. El objetivo de la presente tesis es conocer la efectividad del tratamiento en el manejo de los pacientes que sufren heridas con pérdida de sustancia en el pie y todos sus componentes, al entrar en contacto con la rueda de las motos, así como también el tiempo promedio de estadía hospitalaria que tuvieron que atravesar hasta superar la complicación debido al alto índice de accidentes de tránsito, por consiguiente, la aumentada incidencia de discapacidad que pueden causar los accidentes de tránsito, se realizó un estudio un estudio de retrospectivo, observacional, descriptivo donde el universo muestra fue de 60 pacientes menores de 14 años se determinó que el sexo prevalente es masculino con un 78%, la frecuencia en cuanto a la edad fue de 5 a 9 años un 28% seguido de 1 a 4 y de 10 a 14 años con un 23% seguido de niños menores de 1 año con 13%, se determinó que el tipo de herida es de mayor frecuencia la atractivas con un 42%, el tiempo de recuperación es de 18 meses con un 42%.
The work is carried out in the plastic surgery department of the Francisco de Icaza Bustamante Hospital in Guayaquil to be able to know and document different evolutions and complications in patients who undergo autologous skin transplants due to traumatic causes due to aggressive contact of the foot with the motorbike wheel. The skin graft is defined as the procedure that applies a portion of skin, partial or total over a wound and that will live temporarily until it is integrated into its new bed by inhibition. The objective of this thesis is to know the effectiveness of the treatment in the management of patients suffering from injuries with loss of substance in the foot and all its components, when coming into contact with the wheel of the motorcycles, as well as the average time of hospital stay that they had to go through to overcome the complication due to the high rate of traffic accidents, therefore, the increased incidence of disability that can cause traffic accidents, a study was conducted a retrospective, observational, descriptive study where the universe sample was 60 patients under 14 years old it was determined that the prevalent sex is male with 78%, the frequency in terms of age was 5 to 9 years 28% followed by 1 to 4 and 10 to 14 years With 23% followed by children under 1 year of age with 13%, it was determined that the type of injury is most attractive with 42%, the recovery time is 18 months with 42%
The work is carried out in the plastic surgery department of the Francisco de Icaza Bustamante Hospital in Guayaquil to be able to know and document different evolutions and complications in patients who undergo autologous skin transplants due to traumatic causes due to aggressive contact of the foot with the motorbike wheel. The skin graft is defined as the procedure that applies a portion of skin, partial or total over a wound and that will live temporarily until it is integrated into its new bed by inhibition. The objective of this thesis is to know the effectiveness of the treatment in the management of patients suffering from injuries with loss of substance in the foot and all its components, when coming into contact with the wheel of the motorcycles, as well as the average time of hospital stay that they had to go through to overcome the complication due to the high rate of traffic accidents, therefore, the increased incidence of disability that can cause traffic accidents, a study was conducted a retrospective, observational, descriptive study where the universe sample was 60 patients under 14 years old it was determined that the prevalent sex is male with 78%, the frequency in terms of age was 5 to 9 years 28% followed by 1 to 4 and 10 to 14 years With 23% followed by children under 1 year of age with 13%, it was determined that the type of injury is most attractive with 42%, the recovery time is 18 months with 42%
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Pie, Heridas y traumatismos, Accidentes de tránsito, Trasplante de Piel, Cirugía plástica, Pediatría, Estudios retrospectivos, Epidemiología descriptiva, Hospital del Niño Francisco de Icaza Bustamante, Cantón Guayaquil, Ecuador