Bibliographic citations
Sánchez, R., (2018). Efectividad del colgajo de músculo glúteo mayor y colgajo cutáneo local en el tratamiento de úlceras sacras por presión [Tesis, Universidad Privada Antenor Orrego - UPAO]. https://hdl.handle.net/20.500.12759/3852
Sánchez, R., Efectividad del colgajo de músculo glúteo mayor y colgajo cutáneo local en el tratamiento de úlceras sacras por presión [Tesis]. : Universidad Privada Antenor Orrego - UPAO; 2018. https://hdl.handle.net/20.500.12759/3852
@misc{renati/377313,
title = "Efectividad del colgajo de músculo glúteo mayor y colgajo cutáneo local en el tratamiento de úlceras sacras por presión",
author = "Sánchez García, Robin Manuel Mesías",
publisher = "Universidad Privada Antenor Orrego - UPAO",
year = "2018"
}
OBJECTIVE: To determine the effectiveness of the gluteus maximus muscle flap and local cutaneous flap in the treatment of sacral ulcers due to pressure in patients treated at the Víctor Lazarte Echegaray Hospital Level IV EsSalud of Trujillo during the period between January 1993 and January 2015. MATERIAL AND METHOD: A cohort study was conducted, in which data from 39 patients with sacral ulcers due to pressure treated surgically in the plastic surgery service were retrospectively reviewed. The selection process was carried out under the inclusion and exclusion criteria, having 47 patients as a total, but due to purification and disappearance only 39 clinical histories were considered. We compared two groups: gluteus maximus muscle flap (n = 22) with tunelized island technique and local cutaneous flap (n = 17) with rotational technique. A P value <0.05 was considered statistically significant. RESULTS: There were no statistically significant differences between the sociodemographic variables of the groups with P> 0.05. The relative irrigation of the gluteus flap greater group 18.2% and the local cutaneous flap 41.2%. The gluteus maximus flap group had a statistically significant higher incidence of 81.8% than the local cutaneous flap group of 58.8%. However, the postoperative complications were greater for the local cutaneous group with a RR of 2.26 for each one failed with CMGM. 95% CI. CONCLUSIONS: The surgical technique of the gluteus maximus flap is safe and does not lead to an increase in complications. However, the technique is difficult because of the large blood loss that is difficult to control, despite this, the effectiveness rate is higher than that of the local cutaneous flap, but it is not statistically significant.
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