LINCOLN SAITO MILLAN

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  • article
    Calcanectomia subtotal para tratamento de úlcera de pressão com osteomielite associada: relato de 2 casos
    (2014) MILLAN, LINCOLN SAITO; CARVALHO, JULIO GRYNGLAS DE; BATISTA, BERNARDO PINHEIRO DE SENNA NOGUEIRA; GALLAFRIO, SAMUEL TERRA; TUMA JUNIOR, PAULO; FERREIRA, MARCUS CASTRO
    ABSTRACT Introduction: Feet wounds are very common and require multidisciplinary approach for prevention, treatment and rehabilitation. When involving the calcaneus, they offer even greater difficulty and may complicate with osteomyelitis. Debridement of devitalized tissue and antibiotics are important steps for treatment. For the reconstruction, local or free flaps are needed. However, not all patients, due to systemic conditions or local blood supply, are not candidates for this type of reconstruction and some times are submitted to amputations. Cases Report: The authors report two cases in which subtotals calcanectomies were used for the treatment of wounds in the calcaneus. In both cases, amputations were avoided.
  • article
    Curativo da área doadora de enxerto de pele parcial com curativo de colágeno e alginato (Fibracol®): uma experiência de 35 pacientes
    (2015) MILLAN, LINCOLN SAITO; SILVA, DIEGO BARÃO DA; COLTRO, PEDRO SOLER; ALMEIDA, PAULO CEZAR CAVALCANTE DE; MATTAR, CARLOS ALBERTO; FAIWICHOW, LEÃO
    ABSTRACT Introduction: The objective of this study was to report our findings with a collagen and alginate dressing (Fibracol®) used to cover donor areas of partial-thickness skin grafts. Method: We retrospectively evaluated the medical records of 35 patients in whom Fibracol® was used on donor areas. The routine used to manage the donor area is as follows: The area is covered with one or more units of Fibracol®, followed by application of a waterproof film. After three or four days, the dressing is removed and the area cleaned gently with saline and gauze; the area is dressed again if necessary. The mean patient age was 25.52 years (range, 1-65 years). Results: The thigh was used as the donor area in 29 patients, the arm in 2, the leg in 4, and the trunk in 3. Two patients had more than one donor area. The mean time needed for epithelization was 4.51 days (range, 3-8 days). The Pearson correlation coefficient value correlating age and time of epithelization was -0.0755; p = 0.6685. None of the patients experienced an infection in the donor area. The ideal dressing for the donor area of split-thickness skin grafts would have multiple characteristics including low price, good patient comfort, low infection rate, and a short epithelization period. Conclusion: The authors report a positive experience with the use of Fibracol® in 35 patients over a period of 22 months. The mean epithelization period was 4.51 days, shorter than that in the majority of published studies, and had no correlation with the age of the patient.