Alternativa al cierre de heridas crónicas mediante injertos de Reverdin y factores de crecimiento en cirugía menor ambulatoria

Abstract

The closure of chronic wounds by secondary intention, is a high rate of nursing, especially in poorly healing wounds, for two main reasons, the lack of response to treatments, and the prevalence of this appeal process as claimed in primary health care centers and outpatient hospital. Also, the patient can lead to a delay in their total healing (medical discharge), which sometimes induce other incidents such as ambulance, delay in job placement, etc. It is necessary to find a method which reduces healing time in these cases and at the same time, avoid the complications inherent to conventional wet cure closing and in turn, be available to the media and resources available on our health system. The application of Platelets Rich Plasma (PRP), obtained by centrifugation of blood drawn directly to the patient, has been running for nearly twenty years in the health care setting. It is currently used as an alternative to traditional infiltration corticosteroid tendinopathies in gel state or as a clot, equivalent to a mesh of fibrin membranes capable of forming, filling in coverage or a particular area of tissue loss. Already in 1869, coined the term Reverdin island of skin grafts, initially in treating injury due to burns. In this technique, the wound is covered partially with small fragments of healthy skin of the patient. This study combines the use of PRP and slips island, applied in 15 individuals with trauma with loss of substance, no relevant medical history and do not respond to conventional wet cure. The results show that after the first application of the gel of PRP shows the appearance of granulation tissue, which is susceptible to grafting or island nested. The combination of both techniques shortens the healing time of wounds treated with equipment that is easily accessible in any health center, which is a very low level of spending and an expectation of success High cure, plus the procedure easily manageable by the nursing staff dedicated to program minor outpatient surgery.