<?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[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>S2307-04202020000200034</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2020.agosto.34</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Uso combinado de sustitutos dérmicos con la terapia de vacío en el manejo de heridas complejas: una segunda piel]]></article-title>
<article-title xml:lang="en"><![CDATA[Combined use of dermal substitutes with vacuum therapy in the management of complex wounds: a second skin]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrios-Villalba]]></surname>
<given-names><![CDATA[Javier Tadeo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peña]]></surname>
<given-names><![CDATA[Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Berra]]></surname>
<given-names><![CDATA[Pablo]]></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-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Hospital de Clínicas]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>44</volume>
<numero>2</numero>
<fpage>34</fpage>
<lpage>36</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202020000200034&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202020000200034&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202020000200034&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La técnica más empleada para cubrir un defecto cutáneo es el autoinjerto de piel. En ocasiones precisamos un buen resultado funcional y estético, para lo cual se han desarrollado matrices que permiten la regeneración dérmica. Para mejorar el contacto con el lecho de la herida, diferentes autores han utilizado la terapia de vacío.  Objetivo:  Ilustrar la utilización de sustitutos dérmicos asociados a terapia de vacío como opción a tener en cuenta en el manejo de heridas complejas.  Resultados: Caso clínico de un varón de 27 años, con antecedentes de accidente vehicular. Presentó pérdida de sustancia de 12x6 cm en la cara palmar izquierda. Se realizó toilette quirúrgica + terapia de vacío (TV), luego colocación de sustituto dérmico + TV y finalmente autoinjerto de piel total + TV.  Conclusiones: El uso de sustitutos dérmicos puede alcanzar resultados funcionales y estéticos satisfactorios potenciados por la terapia de vacío.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The most used technique to cover a skin defect is skin autograft. Sometimes we need a good functional and aesthetic result, for which matrices have been developed that allow dermal regeneration. To improve contact with the wound bed, different authors have used vacuum therapy.  Objective:  To illustrate the use of dermal substitutes associated with vacuum therapy as an option to consider in the management of complex wounds.  Results:  Clinical case of a 27-year-old man, with a history of vehicular accident. He had 12x6 cm loss of substance in the left palmar face. Surgical toilette + vacuum therapy (VT) was performed, then placement of dermal substitute + VT and finally total skin autograft + VT.  Conclusions:  The use of dermal substitutes can achieve satisfactory functional and aesthetic results enhanced by vacuum therapy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[sustituto]]></kwd>
<kwd lng="es"><![CDATA[dérmico]]></kwd>
<kwd lng="es"><![CDATA[vacío]]></kwd>
<kwd lng="en"><![CDATA[substitute]]></kwd>
<kwd lng="en"><![CDATA[dermal]]></kwd>
<kwd lng="en"><![CDATA[vacuum.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Burke]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
<name>
<surname><![CDATA[Yannas]]></surname>
<given-names><![CDATA[IV]]></given-names>
</name>
<name>
<surname><![CDATA[Quinby]]></surname>
<given-names><![CDATA[WC]]></given-names>
</name>
<name>
<surname><![CDATA[Bondoc]]></surname>
<given-names><![CDATA[CC]]></given-names>
</name>
<name>
<surname><![CDATA[Jung]]></surname>
<given-names><![CDATA[WK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Successful use of a physiologically acceptable artificial skin in the treatment of extensive burn injury]]></article-title>
<source><![CDATA[Ann Surg]]></source>
<year>1981</year>
<volume>194</volume>
<page-range>413</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Heimbach]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Luterman]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Burke]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Cram]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Herndon]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Hunt]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Artificial dermis for major burns. A multi-center randomized clinical trial]]></article-title>
<source><![CDATA[Ann Surg]]></source>
<year>1988</year>
<volume>208</volume>
<page-range>313</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moiemen]]></surname>
<given-names><![CDATA[NS]]></given-names>
</name>
<name>
<surname><![CDATA[Staiano]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Ojeh]]></surname>
<given-names><![CDATA[NO]]></given-names>
</name>
<name>
<surname><![CDATA[Thway]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Frame]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reconstructive surgery with a dermal regeneration template: clinical and histologic study]]></article-title>
<source><![CDATA[Plast Rec. Surg.]]></source>
<year>2001</year>
<volume>108</volume>
<page-range>93</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schneider]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Morykwas]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Argenta]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A new and reliable method of securing skin grafts to the difficult recipient bed]]></article-title>
<source><![CDATA[Plast Rec. Surg.]]></source>
<year>1998</year>
<volume>102</volume>
<page-range>1195</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Argenta]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
<name>
<surname><![CDATA[Morykwas]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Vacuum-assisted closure: a new method for wound control and treatment: clinical experience]]></article-title>
<source><![CDATA[Ann. Plastic Surg.]]></source>
<year>1997</year>
<volume>38</volume>
<page-range>563</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Argenta]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
<name>
<surname><![CDATA[Morykwas]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Marks]]></surname>
<given-names><![CDATA[MW]]></given-names>
</name>
<name>
<surname><![CDATA[DeFranzo]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Molnar]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[David]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Vacuum-assisted closure: state of clinic art]]></article-title>
<source><![CDATA[Plast Rec. Surg]]></source>
<year>2006</year>
<volume>117</volume>
<page-range>127S</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gómez Morell]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
<name>
<surname><![CDATA[Palao Doménech]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Uso del regenerador dérmico Integra como material de relleno para el tratamiento de defectos del contorno corporal]]></article-title>
<source><![CDATA[Cir plást iberolatinoam]]></source>
<year>2005</year>
<volume>33</volume>
<page-range>195</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
