Factores de riesgo para complicaciones de cirugías reconstructivas de ulceras de decúbito pélvicas: experiencia de 10 años
Objective: To determine the relationship between the presence of comorbidities and the presentation of complications in the coverage of pelvic pressure ulcers. Material and Methods: Descriptive, retrospective, cross-sectional research of correlational type, which was carried out in the Plastic Surge...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
2021
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| Subjects: | |
| Online Access: | https://dialnet.unirioja.es/servlet/oaiart?codigo=7945996 |
| Source: | RECIMUNDO: Revista Científica de la Investigación y el Conocimiento, ISSN 2588-073X, Vol. 5, Nº. 2, 2021, pags. 260-274 |
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| Summary: |
Objective: To determine the relationship between the presence of comorbidities and the presentation of complications in the coverage of pelvic pressure ulcers. Material and Methods: Descriptive, retrospective, cross-sectional research of correlational type, which was carried out in the Plastic Surgery Service of the Regional Teaching Hospital of Cajamarca in Peru, from June 2010 to June 2020. The sample consisted of 35 patients with a total of 54 pressure ulcers in Stages III and IV. Results: We found that the male sex was the most representative (77.1%), the majority were adults (60%) with a mean of 38.2 ± 13.7. In addition, 37.1% were exposed to comorbidity, 42.1% had diabetes mellitus, and 26.3% had obesity. The etiology of the ulcer was paraplegia (74.1%) and prolonged bedwetting (11.1%). The most frequent location of the lesion was the sacral area (48.1%), followed by the right trochanteric region (18.5%). 72.2% of the cases presented ulcerations smaller than 10 cm in diameter and 59.3% had a type IV deep ulcer. The type of reconstruction that was most used was the local axial flap in 59.3% of the cases. The design most used in the reconstruction was the bilateral V-Y gluteal fasciocutaneous flap (29.6%) followed by Tensor Fascia Lata flaps. There were complications in 25.9%, the most frequent being partial necrosis (35.3%). Comorbidities and lesion size found were as risk factors. Conclusions: Patients with surgical pressure ulcers who presented comorbidities and with larger lesions presented a higher frequency of complications with a statistically significant difference.
Keywords: Pressure ulcer, complications, |
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