Viabilidad de colgajos como medio reconstructivo en pacientes con y sin compromiso vascular del Hospital General Guasmo Sur por la especialidad de cirugía plástica en el periodo 2022-2023.

Abstract

Flaps are considered a reconstructive surgical technique thatallowsthetransfer of living, healthy tissue from one area of the body to another defectivearea that may have from a small to a wide range of loss of skin, fat, muscle, orsome other support system. Objective: To identify the factors associated with the effectiveness of a flap in patients with and without vascular compromise atthe Guasmo Sur General Hospital during the period 2022 – 2023.Methodology: An observational, retrospective, cross-sectional and descriptivestudy will be carried out in based on data from users who have met the criteriato undergo surgery to implement flaps with a total of 92 cases in the period 2022 – 2023. Results: Almost 34.78% of the patients had a poor evolution of their flap and the major risk factor associated was the presence of diabetes (17.39%). It was observed that the most frequent complications were suture dehiscence in a total of 11.95%. Conclusions: There is a freat correlation between diabetes andthe presence of necrosissuch assuturedehiscence,thepresence of wich is directly proportional to poor neovascularization, which is why it largely loses its vitality.