Complications using tissue expanders in burn sequelae treatment at a reference university hospital: a retrospective study
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100218 |
Resumo: | ABSTRACT Background: tissue expanders have high relevance in plastic surgery and among indications it is worth mentioning their use in the treatment of burn reconstruction. Although it shows good results, its use requires special care because some complications can interrupt the reconstruction process. The objective of this study was to report the experience of the Clinics Hospital (University of Sao Paulo) with the use of tissue expanders to treat burn sequelae, establishing the incidence of complications, and identifying risk factors for their occurrence. Methods: a retrospective, observational, and analytical study, evaluating the use of expanders in burns sequelae treatment from 2009 to 2018. Results: 245 expanders were placed in 84 patients, 215 were female, with a mean age of 19.96 years, being 40% in the trunk and 20% in the scalp, with a predominance of rectangular shape in 76.7% of cases. Complications were classified as major and minor.Complications occurred in 17.95% of cases, and extrusion and infection were the most common. There was a higher incidence of complications in expanders used in the upper and lower limbs as well as in those who did not undergo concomitant expansion (p <0.05), with an even higher chance of major complications in patients submitted to additional expansion. From 2009 to 2018, we observed a decrease in the incidence of complications. Conclusion: the complication rate (17.95%) is similar to other studies of the literature, there was a higher rate of complication with expanders placed in the limbs and a higher rate of major complications when additional expansion was done. |
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Revista do Colégio Brasileiro de Cirurgiões |
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Complications using tissue expanders in burn sequelae treatment at a reference university hospital: a retrospective studyTissue Expansion DevicesTissue ExpansionBurns/ComplicationsABSTRACT Background: tissue expanders have high relevance in plastic surgery and among indications it is worth mentioning their use in the treatment of burn reconstruction. Although it shows good results, its use requires special care because some complications can interrupt the reconstruction process. The objective of this study was to report the experience of the Clinics Hospital (University of Sao Paulo) with the use of tissue expanders to treat burn sequelae, establishing the incidence of complications, and identifying risk factors for their occurrence. Methods: a retrospective, observational, and analytical study, evaluating the use of expanders in burns sequelae treatment from 2009 to 2018. Results: 245 expanders were placed in 84 patients, 215 were female, with a mean age of 19.96 years, being 40% in the trunk and 20% in the scalp, with a predominance of rectangular shape in 76.7% of cases. Complications were classified as major and minor.Complications occurred in 17.95% of cases, and extrusion and infection were the most common. There was a higher incidence of complications in expanders used in the upper and lower limbs as well as in those who did not undergo concomitant expansion (p <0.05), with an even higher chance of major complications in patients submitted to additional expansion. From 2009 to 2018, we observed a decrease in the incidence of complications. Conclusion: the complication rate (17.95%) is similar to other studies of the literature, there was a higher rate of complication with expanders placed in the limbs and a higher rate of major complications when additional expansion was done.Colégio Brasileiro de Cirurgiões2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100218Revista do Colégio Brasileiro de Cirurgiões v.48 2021reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20202662info:eu-repo/semantics/openAccessVANA,LUIZ PHILIPE MOLINALOBATO,RODOLFO COSTABRAGAGNOLLO,JOÃO PAULO FONTANALOPES,CRISTIANE PEREIRANAKAMOTO,HUGO ALBERTOFONTANA,CARLOSGEMPERLI,ROLFeng2021-06-10T00:00:00Zoai:scielo:S0100-69912021000100218Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2021-06-10T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Complications using tissue expanders in burn sequelae treatment at a reference university hospital: a retrospective study |
title |
Complications using tissue expanders in burn sequelae treatment at a reference university hospital: a retrospective study |
spellingShingle |
Complications using tissue expanders in burn sequelae treatment at a reference university hospital: a retrospective study VANA,LUIZ PHILIPE MOLINA Tissue Expansion Devices Tissue Expansion Burns/Complications |
title_short |
Complications using tissue expanders in burn sequelae treatment at a reference university hospital: a retrospective study |
title_full |
Complications using tissue expanders in burn sequelae treatment at a reference university hospital: a retrospective study |
title_fullStr |
Complications using tissue expanders in burn sequelae treatment at a reference university hospital: a retrospective study |
title_full_unstemmed |
Complications using tissue expanders in burn sequelae treatment at a reference university hospital: a retrospective study |
title_sort |
Complications using tissue expanders in burn sequelae treatment at a reference university hospital: a retrospective study |
author |
VANA,LUIZ PHILIPE MOLINA |
author_facet |
VANA,LUIZ PHILIPE MOLINA LOBATO,RODOLFO COSTA BRAGAGNOLLO,JOÃO PAULO FONTANA LOPES,CRISTIANE PEREIRA NAKAMOTO,HUGO ALBERTO FONTANA,CARLOS GEMPERLI,ROLF |
author_role |
author |
author2 |
LOBATO,RODOLFO COSTA BRAGAGNOLLO,JOÃO PAULO FONTANA LOPES,CRISTIANE PEREIRA NAKAMOTO,HUGO ALBERTO FONTANA,CARLOS GEMPERLI,ROLF |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
VANA,LUIZ PHILIPE MOLINA LOBATO,RODOLFO COSTA BRAGAGNOLLO,JOÃO PAULO FONTANA LOPES,CRISTIANE PEREIRA NAKAMOTO,HUGO ALBERTO FONTANA,CARLOS GEMPERLI,ROLF |
dc.subject.por.fl_str_mv |
Tissue Expansion Devices Tissue Expansion Burns/Complications |
topic |
Tissue Expansion Devices Tissue Expansion Burns/Complications |
description |
ABSTRACT Background: tissue expanders have high relevance in plastic surgery and among indications it is worth mentioning their use in the treatment of burn reconstruction. Although it shows good results, its use requires special care because some complications can interrupt the reconstruction process. The objective of this study was to report the experience of the Clinics Hospital (University of Sao Paulo) with the use of tissue expanders to treat burn sequelae, establishing the incidence of complications, and identifying risk factors for their occurrence. Methods: a retrospective, observational, and analytical study, evaluating the use of expanders in burns sequelae treatment from 2009 to 2018. Results: 245 expanders were placed in 84 patients, 215 were female, with a mean age of 19.96 years, being 40% in the trunk and 20% in the scalp, with a predominance of rectangular shape in 76.7% of cases. Complications were classified as major and minor.Complications occurred in 17.95% of cases, and extrusion and infection were the most common. There was a higher incidence of complications in expanders used in the upper and lower limbs as well as in those who did not undergo concomitant expansion (p <0.05), with an even higher chance of major complications in patients submitted to additional expansion. From 2009 to 2018, we observed a decrease in the incidence of complications. Conclusion: the complication rate (17.95%) is similar to other studies of the literature, there was a higher rate of complication with expanders placed in the limbs and a higher rate of major complications when additional expansion was done. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100218 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100218 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-6991e-20202662 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.48 2021 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
institution |
CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
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1754209215082135552 |