Complicaciones de los colgajos glúteos de rotación y de avance en V - Y - para reconstrucción de úlceras sacras - servicio de cirugía plástica y reconstructiva Hospital Luis Vernaza, 2017.

Abstract

Background: The sacral region is one of the most common sites for pressure ulcer development, and local flaps in the gluteal region are generally preferred when surgical closure is required. Objective: To determine the complications of gluteal rotation and v-advancement flaps for reconstruction of sacral ulcers. Materials and Methods: Observational, analytical, retrospective and cross-sectional study. The sample is made up of 20 patients with sacral ulcers, divided into groups A (rotation flap) and B (VY advancement flap), the unit of analysis was that of the plastic and reconstructive surgery service of the Luis Vernaza hospital in the period of January to December 2017. A statistical significance level of 5% (p <0.05) and the SPSS statistical software were used. Results: of the total number of patients in the study (20), type IV sacral ulcers predominated (55%), with a size between 6-10 cm (80%). 13 gluteal rotation flaps (65%) and 7 forward V-Y flaps (35%) were performed. The mean age was 58.84 ± 18.8 years and 63.57 ± 17.98 years in group A and B respectively. Male sex predominated in group A (69.2%) and female in group B (71.4%). Of all patients in group A (13) and group B (7), 61.5% and 42.9% developed postoperative complications, respectively. Conclusions: Suture dehiscence and infection were the main postoperative complications of gluteal rotation and V-Y advancement flaps. There is a statistically significant relationship in the development of postoperative complications of gluteal rotation and V-Y advancement flaps with the presence of anemia, ASA III-IV score, diabetes mellitus, malnutrition, arterial hypertension, age> 60 years and malignancy.