El objetivo del estudio fue determinar cómo las Políticas del Sistema de Gestión de Calidad en Salud influyeron en la satisfacción de las personas respecto a la provisión del servicio de cirugía plástica reconstructiva del Hospital Edgardo Rebagliati Martins en el periodo del 2021 - 2023. La investigación fue de tipo básico, no experimental, de nivel descriptivo y correlacional. La muestra fue de 494 usuarios de una población de 920 personas que recibieron dicho servicio. Entre los resultados que se obtuvieron, se tiene que, para el 63,4% de los entrevistados, las políticas con relación a las personas, no fueron eficientes, para el 28,1% fueron regulares; por su parte, el 8,5% señalaron que se desarrollan eficientemente. Según el 65%, las políticas con relación a las unidades prestadoras de salud no funcionaron de manera eficiente; para el 26,3% fue regular, y solo el 8,7...

El objetivo del estudio fue comparar dos técnicas de cirugía reconstructiva para lesión en miembro inferior con exposición ósea y a través de ella diferenciar que la técnica VAC (Vacuum Assisted Clousure, cierre asistido con presión negativa); es una alternativa con potencial beneficio de recuperación sin alteraciones significativas que pudieran llevar a compromiso funcional. El estudio es de tipo analítico con cohorte prospectivo, cuantitativo y longitudinal. Se desarrolló en todos los pacientes con heridas traumáticas de miembro inferior con exposición ósea de tercio medio tibial, con uso del sistema VAC y de colgajo gemelar medial, empleadas en los pacientes atendidos en la Clínica Stella Maris durante el periodo 2019. Se evidenció que la medición funcional con escala FAC (Functional Ambulation Categories, Escala Funcional de Ambulación); es mejor en los pacientes co...

Se planteó determinar si existen diferencias entre el uso del sistema de aspiración a presión negativa y la terapia convencional en el manejo de úlceras traumáticas de miembro inferior en pacientes atendidos en la Clínica Stella Maris durante el periodo 2015-2016. Para ello, se desarrolló un estudio cuantitativo, analítico observacional tipo cohorte, longitudinal y retrospectivo con una serie de 40 pacientes con úlceras traumáticas, de los cuales 20 fueron tratados con el sistema de aspiración a presión negativa y a los otros 20 pacientes, con el tratamiento convencional para observar la reducción de las dimensiones en el proceso de cicatrización. Se estudió una población con una edad promedio de 47 años, el sexo predominante fue varones (60%), con instrucción superior (45%). Los individuos tratados con el sistema de aspiración a presión negativa mostraron cambios en ...

Objective: To compare scar formation between regenerated nanocellulose dermal substitutes and xenografts in patients with deep second-degree thermal burns. Materials and methods: A comparative, interventional, analytical, prospective and longitudinal study was conducted. We present the report of 60 cases evaluated in a private clinic in Lima, Peru, between January 2022 and July 2023. Patients aged 1 to 60 years without comorbidities were evaluated for scar formation from deep second-degree thermal burns within the first 24 hours of the accident. Both dermal substitutes were used in all patients. The study was authorized with informed consent. Results: An evaluation was conducted at 90 days, showing better scar formation with the synthetic dermal substitute made of nanocellulose compared to the xenograft. The results were evaluated using the Vancouver Scar Scale (VSS) (vascularization, pi...

The Meek technique is useful in patients with limited donor sites. It is a relatively efficient technique due to its ability to expand the skin up to nine times its original size. Scarring was assessed using two tissue expansion techniques, i.e. the Meek technique and the conventional mesh technique, which achieved an expansion ratio of 1:3. It should be noted that, with advances in bioengineering, the Meek technique is integrated as a complete method for autografting.1,2 We present the case of a 34-year-old male patient with a polymicrobial infectious disease called "necrotizing fasciitis". He had lost tissues of the thorax, abdomen and inguinal-perineal region, affecting 14% of his total body surface area. A qualitative assessment using the Vancouver scale and the Patient Objective Scar Assessment Scale (POSAS) showed better scarring results with the Meek technique.

Objective: To evaluate healing in partial skin graft donor sites using a skin substitute compared to a xenograft in patients with different diseases requiring partial skin grafting. Materials and methods: This paper presents a report of 20 patients between 19 and 65 years from the Plastic Surgery Unit of the Hospital María Auxiliadora in Lima Metropolitan Area, Peru, between December 2017 and June 2018, where healing was evaluated in partial skin graft donor sites. An interventional, analytical, prospective and longitudinal study was conducted using a double-blind design to control possible biases. For the statistical significance analysis, nonparametric tests with a 95 % confidence interval were used. Results: Using a skin substitute, a better healing quality of donor sites of epithelialization was seen compared with xenografting. Both techniques were evaluated with the Vancouver ...

Objective: To compare two reconstructive surgery techniques for lower limb injury with exposed bone and demonstratethat the VAC® (vacuum-assisted closure) negative pressure wound therapy is an alternative for potential recovery showingno significant changes that could lead to functional compromise. Materials and methods: An analytical, prospective, quantitative and longitudinal study conducted with all the patientsof Clínica Stella Maris with traumatic injuries of the lower limb and exposure of the middle third of the tibia treated withthe VAC® system and the medial calf flap in 2019. Results: The measurement obtained with the functional ambulation categories (FAC) scale showed better resultsamong the patients treated with the VAC® technique (since 50 % got grade V) than those who underwent the flaptechnique (50 % got grade IV), being the differences statistically significant (p <...

Objective: To demonstrate the stability of the nasal tip over time with the use of carved silicone among patients with nasal tip stability deficit, previous aesthetic rhinoplasty and manipulation of the nasal septum. Materials and methods: A descriptive, analytical, interventional study using the nasal tip stabilization reconstruction technique performed at a private clinic in the city of Lima, Peru, in 2022. The study included 22 cases of patients between the ages of 30 and 55 with tip instability, previous rhinoplasty and manipulated nasal septum, without comorbidities. The patients were evaluated in the first, third and sixth months and one year after the reconstruction and stabilization of the nasal tip. Non-probabilistic sampling was performed. No sample was used, since the total number of patients who met the inclusion criteria were included. All the participants underwent the surg...