Complicaciones de los colgajos en la reconstrucción de miembro inferior. Servicio de cirugía plástica y reconstructiva. Hospital Luis Vernaza 2012 – 2016.

Abstract

Background:The main reason for reconstructive plastic surgeryin the lower limb is the protective effect, by covering defects or open damage, in order to return the patient the possibility of walking and reintegrate into their daily activities. Materials and methods:The type of research is observational, retrospective, cross-sectional and descriptive in patients treated with lower limb flaps in the plastic surgery service of the Luis Vernaza Hospital, Ecuador. The period of the investigation:January 2012 to December 2016. The chi-square test was used to calculate the p-value, a value less than 0.05 was considered to establish the difference between the variables studied. Results: 151 patients were studied, to which flaps were applied to cover wounds in the lower limb, ages between 77 and 16 years old, with an average of 41 years, 128 (85%) cases of males and females. 23 (15%) of the female. The total complications observed were: 41 flaps, making up 27.15% of a total of 151 flaps studied and uncomplicated cases 110 (72.85%). The most observed complication was seroma, which occurred in 16 (33%) flaps, then partial necrosis in 12 (25%) flaps. Conclusions:It is difficult to determine the exact epidemiology of complications, since there are a lot of variables that can cause biases, such as background, experience of the surgeon, material or way of curing, but containing results that can serve as a reference for the next studies.