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      Injerto graso como rescate de herida dehiscente sobre bypass vascular. Caso clínico Translated title: Fat graft as rescue for dehiscent wound over vascular bypass. Case report

      case-report

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          Abstract

          Resumen La dehiscencia de heridas quirúrgicas es un problema habitual en la práctica clínica que requiere una solución eficaz, sobre todo cuando se exponen estructuras nobles o material protésico. El injerto de grasa autóloga es una técnica segura y sencilla que puede solucionar úlceras crónicas. Presentamos el caso de un paciente diabético con una úlcera refractaria con exposición de su bypass, que alcanzó la curación completa tras realizar un injerto graso.

          Translated abstract

          Abstract Surgical wound dehiscence is a common problem in clinical practice that requires an effective solution, especially when noble structures or prosthetic material are exposed. Autologous fat grafting is a safe and simple technique that can solve chronic ulcers. We present the case of a diabetic patient with a refractory ulcer with exposure of his bypass, who achieved complete healing after performing a fat graft.

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          Most cited references12

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          Structural fat grafting: more than a permanent filler.

          Grafted fat has many attributes of an ideal filler, but the results, like those of any procedure, are technique dependent. Fat grafting remains shrouded in the stigma of variable results experienced by most plastic surgeons when they first graft fat. However, many who originally reported failure eventually report success after altering their methods of harvesting, refinement, and placement. Many surgeons have refined their techniques to obtain long-term survival and volume replacement with grafted fat. They have observed that transplanted fat not only adjusts facial and body proportion but also improves surrounding tissues into which the fat is placed. They have noted not only the improvement in the quality of aging skin and scars but also a remarkable improvement in conditions such as radiation damage, chronic ulceration, breast capsular contracture, and damaged vocal cords. The mechanism of fat graft survival is not clear, and the role of adipose-derived stem cells and preadipocytes in fat survival remains to be determined. Early research has indicated the possible involvement of more undifferentiated cells in some of the observed effects of fat grafting on surrounding tissues. Of particular interest is the research that has pointed to the use of stem cells to repair and even to become bone, cartilage, muscle, blood vessels, nerves, and skin. Further studies are essential to understand grafted fat tissue.
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            Wound healing and diabetes mellitus

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              The Current State of Fat Grafting: A Review of Harvesting, Processing, and Injection Techniques.

              Interest in and acceptance of autologous fat grafting for use in contour abnormalities, breast reconstruction, and cosmetic procedures have increased. However, there are many procedural variations that alter the effectiveness of the procedure and may account for the unpredictable resorption rates observed.
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                Author and article information

                Journal
                cpil
                Cirugía Plástica Ibero-Latinoamericana
                Cir. plást. iberolatinoam.
                Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE) (Madrid, Madrid, Spain )
                0376-7892
                1989-2055
                June 2022
                : 48
                : 2
                : 193-198
                Affiliations
                [1] orgnameHospital Universitario Donostia orgdiv1Servicio de Cirugía Plástica
                [3] orgnameHospital Universitario Donostia orgdiv1Servicio de Cirugía Plástica
                [2] orgnameHospital Universitario Donostia orgdiv1Servicio de Cirugía Plástica
                Article
                S0376-78922022000200193 S0376-7892(22)04800200193
                10.4321/s0376-78922022000200010
                3b134ab8-99b8-42ad-804f-5888e8910714

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 01 June 2022
                : 24 April 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 12, Pages: 6
                Product

                SciELO Spain

                Categories
                Reconstructiva

                Autologous fat graft,Diabetic foot,Wound healing,Wound dehiscence,Injerto graso autólogo,Pie diabético,Cicatrización heridas,Herida dehiscente

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