Perilesional injections of autologous fat graft in burn healing
Introduction: Burns are devastating injuries and the appearance of hypertrophic scars is a frequent complication. The classic treatment of dermal burns offers unaesthetic results in healing; however, the literature reports that autologous fat grafts favor revascularization, epithelialization, and ae...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Spanish |
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ECIMED
2023-08-01
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| Series: | Revista Cubana de Medicina Militar |
| Subjects: | |
| Online Access: | https://revmedmilitar.sld.cu/index.php/mil/article/view/2690 |
| _version_ | 1797690442671718400 |
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| author | Aramis Estévez Aparicio Diana de Arazoza Borges Daniel Noriega Rodríguez Sergio Gonzalez-Garcia |
| author_facet | Aramis Estévez Aparicio Diana de Arazoza Borges Daniel Noriega Rodríguez Sergio Gonzalez-Garcia |
| author_sort | Aramis Estévez Aparicio |
| collection | DOAJ |
| description | Introduction: Burns are devastating injuries and the appearance of hypertrophic scars is a frequent complication. The classic treatment of dermal burns offers unaesthetic results in healing; however, the literature reports that autologous fat grafts favor revascularization, epithelialization, and aesthetic improvement.
Objective: To determine the results of the application of perilesional injections of autologous fat graft in patients with dermal burns.
Methods: A quasi-experimental study was performed, without randomization. A non-probabilistic test was used and the sample was made up of 40 patients in 2 groups: Group I with 20 subjects who underwent injections of autologous fat and the classic burn cure and in Group II 20 subjects with only the classic burn cure. The variables mean epithelialization time, presence of unsightly scars, appearance of keloids and hypertrophic scars were evaluated.
Results: The patients in group I, with injections of fat graft, had a mean epithelialization time of 10 days less than the 14 days in group II. In addition, less unsightly scars appeared and a lower tendency to the appearance of keloids and hypertrophic scars. Finally, the patients in the group had a lower score on the Patient and Observer Scar Assessment Scale (POSAS) scale.
Conclusions: Perilesional autologous fat graft injections reduce the appearance of unsightly scars, decreasing epithelialization time and improving the vascularization, pigmentation, thickness, relief, elasticity and surface of the scar. |
| first_indexed | 2024-03-12T02:00:38Z |
| format | Article |
| id | doaj.art-ceb2bab1ae8b439f96017a800345021a |
| institution | Directory Open Access Journal |
| issn | 1561-3046 |
| language | Spanish |
| last_indexed | 2024-03-12T02:00:38Z |
| publishDate | 2023-08-01 |
| publisher | ECIMED |
| record_format | Article |
| series | Revista Cubana de Medicina Militar |
| spelling | doaj.art-ceb2bab1ae8b439f96017a800345021a2023-09-07T20:04:09ZspaECIMEDRevista Cubana de Medicina Militar1561-30462023-08-01523e02302690e02302690823Perilesional injections of autologous fat graft in burn healingAramis Estévez Aparicio0Diana de Arazoza Borges1Daniel Noriega Rodríguez2Sergio Gonzalez-Garcia3Universidad de Ciencias Médicas de La Habana. Hospital Clínico-Quirúrgico Miguel EnríquezUniversidad de Ciencias Médicas de La Habana. Hospital Clínico-Quirúrgico Miguel EnríquezUniversidad de Ciencias Médicas de La Habana. Hospital Clínico-Quirúrgico Miguel EnríquezUniversidad de Ciencias Médicas de La HabanaIntroduction: Burns are devastating injuries and the appearance of hypertrophic scars is a frequent complication. The classic treatment of dermal burns offers unaesthetic results in healing; however, the literature reports that autologous fat grafts favor revascularization, epithelialization, and aesthetic improvement. Objective: To determine the results of the application of perilesional injections of autologous fat graft in patients with dermal burns. Methods: A quasi-experimental study was performed, without randomization. A non-probabilistic test was used and the sample was made up of 40 patients in 2 groups: Group I with 20 subjects who underwent injections of autologous fat and the classic burn cure and in Group II 20 subjects with only the classic burn cure. The variables mean epithelialization time, presence of unsightly scars, appearance of keloids and hypertrophic scars were evaluated. Results: The patients in group I, with injections of fat graft, had a mean epithelialization time of 10 days less than the 14 days in group II. In addition, less unsightly scars appeared and a lower tendency to the appearance of keloids and hypertrophic scars. Finally, the patients in the group had a lower score on the Patient and Observer Scar Assessment Scale (POSAS) scale. Conclusions: Perilesional autologous fat graft injections reduce the appearance of unsightly scars, decreasing epithelialization time and improving the vascularization, pigmentation, thickness, relief, elasticity and surface of the scar.https://revmedmilitar.sld.cu/index.php/mil/article/view/2690quemadurastejido adiposocicatrización. |
| spellingShingle | Aramis Estévez Aparicio Diana de Arazoza Borges Daniel Noriega Rodríguez Sergio Gonzalez-Garcia Perilesional injections of autologous fat graft in burn healing Revista Cubana de Medicina Militar quemaduras tejido adiposo cicatrización. |
| title | Perilesional injections of autologous fat graft in burn healing |
| title_full | Perilesional injections of autologous fat graft in burn healing |
| title_fullStr | Perilesional injections of autologous fat graft in burn healing |
| title_full_unstemmed | Perilesional injections of autologous fat graft in burn healing |
| title_short | Perilesional injections of autologous fat graft in burn healing |
| title_sort | perilesional injections of autologous fat graft in burn healing |
| topic | quemaduras tejido adiposo cicatrización. |
| url | https://revmedmilitar.sld.cu/index.php/mil/article/view/2690 |
| work_keys_str_mv | AT aramisestevezaparicio perilesionalinjectionsofautologousfatgraftinburnhealing AT dianadearazozaborges perilesionalinjectionsofautologousfatgraftinburnhealing AT danielnoriegarodriguez perilesionalinjectionsofautologousfatgraftinburnhealing AT sergiogonzalezgarcia perilesionalinjectionsofautologousfatgraftinburnhealing |