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A Américo y María Luisa, mis padres y a mis hermanos: Mabel, María Luisa, Aimeé, Karina,
Américo, Ana María y Adolfo, por ser toda mi vida. A la familia Mitma Vásquez, por su apoyo
constante e incondicional. Al servicio de Cirugía Plástica y Quemados del Hospital Daniel A.
Carrión, por sus enseñanzas, por su escuela y por su amistad, en especial al Dr. Felix Farias,
mi asesor, el gran artífice de este trabajo.

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Se presenta la evaluación de la utilización clínica de los Colgajos Neurofasciocutáneo derivados
del sistema vascular sural para la reconstrucción de miembros inferiores: el colgajo sural a
pedículo proximal y el colgajo sural a pedículo distal, realizado en el Servicio de Cirugía Plástica
y Quemados del Hospital Nacional Daniel Alcides Carrión – Callao, entre Enero de 1998 y
Diciembre del 2002, para la cobertura de lesiones complejas asociadas a medianos y grandes
defectos localizados en el tercio superior, medio e inferior de la pierna, maléolo interno y
externo, talón, tendón de Aquiles y región proximal y distal del pie.
Se Evaluaron 32 pacientes en quienes se les realizó estas técnicas siendo los resultados
obtenidos muy favorables y satisfactorios. Se requirió un solo tiempo operatorio, sin necesidad
de técnica micro quirúrgica, la elevación del colgajo fue relativamente sencilla, rápida y segura,
obteniéndose resultados estéticos satisfactorios, con una reinserción rápida a su ámbito laboral, a
costos mas bajos y sin deterioro de su capacidad física y funcional. Recomendando el uso de
estos colgajo para toda lesión compleja localizada desde rodilla a región distal de pie.

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