Bibliographic Details
| Title: |
Análisis de eficacia de la rigotomía asociada a injerto graso para mejorar cicatrices. |
| Alternate Title: |
Analysis of the effectiveness of rigottomy associated with far graft to improve scars. |
| Authors: |
FERNÁNDEZ, Pablo Rodrigo1 dr.prfernandez@gmail.com, MOTTURA, Aldo1 |
| Source: |
Cirugía Plástica Ibero-Latinoamericana. ene-mar2021, Vol. 47 Issue 1, p87-93. 7p. |
| Abstract (English): |
Background and objective. Scars may have functional, cosmetic and psychosocial implications on individuals. Current treatment through surgical excision does not always bring satisfactory results and also, it represents a new wound and could promote an abnormal healing process. In contrast, the autologous fat grafting associated with rigottomy would not produce new visible scars with better results. The objective of our study was to analyze the effectiveness of the autologous fat grafting associated with rigottomy for the treatment of unaesthetic scars. Methods. An experimental, prospective, longitudinal study was carried on. Participants were adult women and men (n=32) who attended between 2013-2017 the Clinic of Plastic and Reconstructive Surgery Dr. Mottura and the Model Institute of Obstetrics and Gynecology, (IMGO), in Córdoba, Argentina. Fat was collected by manual and central aspiration. The obtained material was decanting and the supernatant fat was employed. Aponeurotic skin adhesions were released by rigottomy and fat graft was held on the injury with blunt cannula. Satisfaction level about scars appearance of patients and surgeons was assessed before and after intervention, by a visual analogue scale. ANOVA test was used to analyze changes in satisfaction level. A multivariate linear regression model was developed to analyze the association between the level of post treatment satisfaction and the original size of the lesion. Results. In our experience with patients, the level of pre and post treatment satisfaction was statistically significantly different (p<0.0001), as well as in surgeons (p<0.0001). The depressed scars presented a better evolution than the non-depressed scars (p<0.0021) and a statistically significant inverse association was observed between scar size and post treatment satisfaction score in patients (β = -0.03, 95% CI, 0.06-0.001, p=0.039). Conclusions. Autologous fat grafting associated with rigottomy is an effective therapeutic strategy for surgical correction of unaesthetic scars. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Introducción y objetivo. Las cicatrices pueden tener en los individuos profundas repercusiones funcionales, cosméticas y psicosociales. En contraposición al tratamiento actual de escisión quirúrgica, el injerto autólogo de grasa no produciría nuevas cicatrices visibles ni agrandaría las actuales, logrando así mejores resultados. Se propuso aquí analizar la efectividad del injerto autólogo de grasa asociado a rigotomía para el tratamiento de las cicatrices inestéticas. Material y método. Estudio experimental, longitudinal y prospectivo. Participaron mujeres y hombres adultos (n=32) que concurrieron durante 2013-2017 a la Clínica de Cirugía Estética y Reparadora Dr. Mottura y al Instituto Modelo de Ginecología y Obstetricia (IMGO) en Córdoba, Argentina. Se recolectó grasa por aspiración manual y central, se dejó decantar y se utilizó la grasa sobrenadante. Se liberaron las adherencias cutáneo-aponeuróticas por medio de rigotomía y se llevó a cabo el injerto graso a nivel de la lesión con cánula roma llenando la depresión. Valoramos la satisfacción de pacientes y cirujanos intervinientes respecto a la apariencia de las cicatrices antes de la intervención y 3 meses después, a través de una escala analógica visual. Aplicamos el test de ANOVA para analizar cambios en la satisfacción pre y postratamiento quirúrgico y un modelo de regresión lineal multivariado para analizar la asociación entre el nivel de satisfacción postratamiento el tamaño original de la lesión. Resultados. En los pacientes, el nivel de satisfacción pre y postratamiento fue diferente de manera estadísticamente significativa (p<0.0001), al igual que en los médicos (p<0.0001). Las cicatrices deprimidas presentaron mejor evolución que las no deprimidas (p<0.0021. Observamos una asociación inversa estadísticamente significativa entre el tamaño de la cicatriz y la puntuación postratamiento en pacientes (β=-0.03, IC 95% 0.06-0.001, p=0.039). Conclusiones. En nuestra experiencia, el injerto autólogo de grasa asociado a rigotomía constituye una estrategia terapéutica quirúrgica efectiva para la corrección de cicatrices inestéticas. [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |
