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Tytuł:
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Complications using tissue expanders in burn sequelae treatment at a reference university hospital: a retrospective study.
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Autorzy:
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Vana LPM; - Hospital das Clínicas - Faculdade de Medicina da Universidade de São Paulo, Departamento de Cirurgia Plástica e Queimaduras - São Paulo - SP - Brasil.
Lobato RC; - Hospital das Clínicas - Faculdade de Medicina da Universidade de São Paulo, Departamento de Cirurgia Plástica e Queimaduras - São Paulo - SP - Brasil.
Bragagnollo JPF; - Hospital das Clínicas - Faculdade de Medicina da Universidade de São Paulo, Departamento de Cirurgia Plástica e Queimaduras - São Paulo - SP - Brasil.
Lopes CP; - Hospital das Clínicas - Faculdade de Medicina da Universidade de São Paulo, Departamento de Cirurgia Plástica e Queimaduras - São Paulo - SP - Brasil.
Nakamoto HA; - Hospital das Clínicas - Faculdade de Medicina da Universidade de São Paulo, Departamento de Cirurgia Plástica e Queimaduras - São Paulo - SP - Brasil.
Fontana C; - Hospital das Clínicas - Faculdade de Medicina da Universidade de São Paulo, Departamento de Cirurgia Plástica e Queimaduras - São Paulo - SP - Brasil.
Gemperli R; - Hospital das Clínicas - Faculdade de Medicina da Universidade de São Paulo, Departamento de Cirurgia Plástica e Queimaduras - São Paulo - SP - Brasil.
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Źródło:
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Revista do Colegio Brasileiro de Cirurgioes [Rev Col Bras Cir] 2021 Jun 14; Vol. 48, pp. e20202662. Date of Electronic Publication: 2021 Jun 14 (Print Publication: 2021).
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Typ publikacji:
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Journal Article
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Język:
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English; Portuguese
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Imprint Name(s):
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Original Publication: Rio de Janeiro : Colégio Brasileiro de Cirurgiões, [1974?]-
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MeSH Terms:
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Burns*/surgery
Tissue Expansion Devices*
Adult ; Female ; Hospitals ; Humans ; Male ; Retrospective Studies ; Tissue Expansion ; Young Adult
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References:
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Entry Date(s):
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Date Created: 20210616 Date Completed: 20210618 Latest Revision: 20231130
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Update Code:
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20240104
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PubMed Central ID:
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PMC10683468
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DOI:
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10.1590/0100-6991e-20202662
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PMID:
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34133653
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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.
