<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cir. Parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202019000100038</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2019.abril.38-40</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[UTILIZACIÓN DEL COLGAJO SURAL PARA LA REPARACIÓN DE DEFECTOS EN EL MIEMBRO INFERIOR: RESCATE DE UNA EXTREMIDAD]]></article-title>
<article-title xml:lang="en"><![CDATA[USE OF THE SURAL FLAP FOR THE REPARATION OF DEFECTS IN THE LOWER MEMBER: RESCUE OF A LIMB]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrios]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sandoval]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Méndez]]></surname>
<given-names><![CDATA[Elvio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aldana]]></surname>
<given-names><![CDATA[Celso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amarilla]]></surname>
<given-names><![CDATA[Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Hospital de Clínicas, Unidad de Cirugía Plástica]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<volume>43</volume>
<numero>1</numero>
<fpage>38</fpage>
<lpage>40</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202019000100038&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202019000100038&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202019000100038&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La reparación de lesiones de partes blandas del tercio distal del miembro inferior, constituye un desafío para la cirugía plástica reconstructiva. El objetivo del presente trabajo consiste en ilustrar una de las indicaciones del colgajo sural para la adecuada cobertura de una herida compleja en la región calcánea. Se describe el caso de un niño de 6 años de edad con antecedentes de accidente en motocicleta, que ocasionó una herida con pérdida de sustancia en la región calcánea derecha. Se realizó inicialmente curación e instalación de sistema aspirativo. Técnica quirúrgica: Diseño del colgajo, disección de la isla de piel incluyendo la fascia, identificación del paquete vasculonervioso proximal, ligadura y sección, disección fasciocutánea de proximal a distal. Movilización del colgajo y cobertura del defecto. Autoinjerto cutáneo parcial en zona donante. Evolución favorable. El colgajo sural permite una confiable cobertura cutánea del tercio distal del miembro inferior cuando no se cree factible el uso de injertos. Ventajas: no depende de microcirugía, un solo tiempo operatorio, sin déficit funcional importante, amplio rango de rotación y aceptable morbilidad del sitio donante. Desventaja: Sacrificio del nervio sural. Se concluye que el colgajo sural permite la reconstrucción de defectos en el tercio distal de la pierna.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The repair of soft tissue injuries of the distal third of the lower limb is a challenge for reconstructive plastic surgery. The objective of this study is to illustrate one of the indications of the sural flap for the adequate coverage of a complex wound in the calcaneal region. We describe the case of a 6-year-old boy with a motorcycle accident history, which caused a wound with loss of substance in the right calcaneal region, with small bone exposure. Treated initially with healing and then installation of aspiration system. Surgical Technique: Flap design, dissection of the skin island including the fascia, identification of the proximal vascular-nervous package, ligature and section, fasciocutaneous dissection from proximal to distal. Mobilization of the flap and coverage of the defect. Partial skin graft in the donor site. Favorable evolution. The sural flap allows reliable skin coverage of the distal third of the leg and foot when the use of grafts is not feasible. Advantages: it does not depend on microsurgery, only one operative time, without significant functional deficit, wide range of rotation and acceptable morbidity of the donor site. Disadvantage: Sacrifice of the sural nerve. It is concluded that the sural flap allows the reconstruction of defects in the distal third of the leg.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[colgajo]]></kwd>
<kwd lng="es"><![CDATA[sural]]></kwd>
<kwd lng="es"><![CDATA[calcáneo]]></kwd>
<kwd lng="en"><![CDATA[flap]]></kwd>
<kwd lng="en"><![CDATA[sural]]></kwd>
<kwd lng="en"><![CDATA[calcaneal]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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