Publications by authors named "Jorge Aguilera Saez"
Background: In deep burns, the gold standard of treatment is surgical debridement and coverage, but in hands, this may lead to poor aesthetic and functional results due to the complexity of this anatomical area. Enzymatic debridement (Nexobrid) allows for the preservation of the dermal remnant and reduces the number of skin grafts when compared with surgical excision. The study aimed to analyze the patients with intermediate second-degree or deeper burns in hands who required surgical treatment after Nexobrid and those who avoided it.
View Article and Find Full Text PDFBackground: The pure skin perforator (PSP) flap is gaining popularity for its remarkable thinness. The subdermal dissection technique was recently introduced, allowing for a quicker elevation of a PSP flap. In this report, we present our two-year experience utilizing subdermal dissection for harvesting PSP flaps.
View Article and Find Full Text PDFIntroduction: Mass burn casualty disasters present with a big challenge due to the complex multidisciplinary management of severely burned patients and the limited capacity of the specialized centers. Literature is scarce, and so is the management of these disasters with enzymatic debridement (ED).
Methods: Retrospective observational analysis of nine patients admitted to the Vall d'Hebron University Hospital Burn Center (Barcelona, Spain), as a consequence of a bell tower explosion on December 30, 2019.
Background: Current scientific evidence on the effect of Extracorporeal Shock Wave Therapy (ESWT) as adjunctive treatment for burn scars is scarce. However preliminary evidence, indicates it might prove a useful tool.
Materials And Methods: A prospective, randomized, controlled study was conducted from February 2017 to February 2019.
Background: The worldwide coronavirus disease 2019 (COVID-19) epidemic, caused by the SARS-CoV-2 coronavirus, is the defining global health crisis of our time. Spain has had one of the highest burdens of COVID-19 worldwide. During this period, Vall d'Hebron University Hospital Burn Center (Barcelona) has faced a unique challenge: supporting the hospital response against COVID whilst continued offering an optimal care to the burn patient.
View Article and Find Full Text PDFArticle Synopsis
- - The article discusses the complex reconstructive challenges faced when salvaging lower limbs in severely burned patients with exposed bone or tendon, especially when standard therapies are inadequate.
- - Microsurgical reconstruction using distant flaps is often the most effective approach for these cases, despite lower success rates due to the severity of the burns.
- - An illustrative case is presented where a patient with extensive electrical injuries underwent multiple surgical interventions, ultimately achieving limb salvation and regaining mobility and quality of life after 3 years.
Objective: The objective of this study is to review our experience in the implementation of an innovative Telemedicine Platform (the Teleburns Project) for the acute care of burned patients.
Methods: We developed and implemented a Teleburns Platform by the creation of a new medical software and hardware for High Definition medical videoconference, in order to assist distant burned patients. After the establishment of the system and revision of technical requirements, an internal validation of the project was done: we managed 40 consecutive burned patients via telemedicine videoconference within our own Center.
Introduction: Burned patients may present with different type and severity of sensory dysfunction. Regenerative mechanisms in the peripheral nervous system are diminished after burn injury and thus unable to accurately regenerate somatosensitive skin receptors. The pattern by which neuronal regeneration occurs to regain this sensitivity in burn patients is still unclear.
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- Extracorporeal shock wave therapy (ESWT), originally used for treating kidney stones, is being explored for managing burns and their complications, showing potential as a conservative treatment option.
- A literature review identified 34 articles related to ESWT and burns, but only 15 were relevant, including studies on acute burns, post-burn scars, and other related conditions.
- Current scientific evidence supporting ESWT for burn treatment is limited and of low quality, indicating a need for more rigorous research to confirm its effectiveness.