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Organo Oficial de la Sociedad Mexicana de Urología

2017, Número 1

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Rev Mex Urol 2017; 77 (1)


Quemaduras en genitales y periné: consideraciones generales y tratamiento urológico

Carrillo-Córdova LD, Carrillo-Esper R, Carrillo-Córdova JR

Idioma: Español
Referencias bibliográficas: 69
Paginas: 36-49
Archivo PDF: 363.91 Kb.


RESUMEN

Antecedentes: las quemaduras en genitales y periné ocurren en un grupo pequeño de pacientes que requieren diagnósticos precisos, tratamiento intensivo y oportuno por parte de equipos multidisciplinarios. Las quemaduras en los genitales representan, aproximadamente, 2% de todas las series estadounidenses de quemados. En la mayor parte de los casos se asocian con una gran superficie corporal quemada; el fuego directo y la escaldadura son las causas más frecuentes. El tratamiento de las quemaduras se inicia con el diagnóstico oportuno; para ello deben clasificarse correctamente según la profundidad de la lesión. Después de establecido el diagnóstico, el tratamiento debe ser intenso y dirigido a evitar la profundización de la quemadura. La reanimación hídrica es el paso inicial seguida de curaciones, cuando se trata de quemaduras superficiales. En quemaduras de segundo grado profundo o tercer grado, la reconstrucción dependerá de la afectación. Entre las opciones de reconstrucción destacan: aplicación de injertos cutáneos, colgajos locorregionales, colgajos libres y, en casos graves, reconstrucción total del pene. Las complicaciones dependen de la extensión de la quemadura. Las quemaduras en los genitales y periné representan un reto diagnóstico y terapéutico para el urólogo.


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