Fasciotomy closure technique with vessel loopsAim: Present and describe the progressive fasciotomy closure technique with vessel loops. Methods: Progressive and multicentric study in the period between June of 2007 and June of 2011. Results: In 2007 we initiated the complementary treatment for fasciotomy closure related to compartment syndrome or acute ischemia cases. Progressive closure with vessel loops, the shoelace technique. In 2010's preliminary report, we published a total of 56 fasciotomies closed by this technique, with an average closure time of 9.5 ± 3.31 days. Current report is the result of a 4 years prospective study intending to prove that is possible to associate this technique to the initial management of fasciotomies closure. This final report shows a total of 122 fasciotomies cases closed in 7.9 ± 3.31 days, without skin grafts. Conclusion: The technique is easy to learn, reproducible and not expensive. Results show that this technique is useful in reduce the time for fasciotomy closure.

current use of dermal substitutes in reconstructive surgery There are many different types of skin substitutes available on the market. They help us to achieve better outcomes in acute burn treatment and their complications. Some of this skin substitutes are intended as temporary covers and others are intended to be used in the surgical management of deep burns. It is important to know the individual characteristics of each one of these different skin substitutes so that we can determine the optimal role of them in treatment of the different types of burns and their complications.

Propeller flap in post-traumatic lower limb defects aim: To describe indications and results obtained in distal lower leg post traumatic reconstruction using pediculated perforator propeller flap. Patients and methods: Prospective series of consecutive patients treated with propeller flaps between March 2011 and March 2014. Patient's characteristics, defects and flaps characteristics and post operative complications were recorded. Descriptive statistical methods were used in this study. results: Eight patients were included with a median age of 40 years. The injuries were caused by degloving (one case) and fractures (seven cases), including four calcaneal fractures, two open tibial fractures and one ankle fracture. Three cases were reconstructed with posterior tibial artery pedicled perforator flaps, and five cases with peroneal artery perforator flaps. The median average area of the flaps was 55.8 cm 2 (range 40-117.8 cm 2). Coverage was achieved in all cases. no total flap necrosis was reported. discussion: Propeller flaps are a useful tool in reconstruction of medium size defects of the distal third of the lower limb. They allow primary closure of the donor site and have a low rate of complications.

Flaps in reconstruction of the lateral calcaneal region: case series and treatment algorithm for soft-tissue complications of the lateral approach for calcaneal fractures introduction: Calcaneal fractures are the most frequent tarsal bone fracture. A high complication rate has been reported for the L-shaped lateral calcaneus surgical approach. Coverage of the resulting defect can be challenging. The aim of this article is to report a case series and propose a new treatment algorithm. materials and methods: Between January 2011 and December 2013 ninety-five patients underwent a close calcaneus fracture surgery by lateral approach. Ten patients suffered from surgical wound complications. Defects were classified as small (< 2 cm), medium (2-5 cm) or big size (> 5 cm). results: Small size defects were covered with local fasciocutaneous advancement and rotation flaps. Medium size defect were covered either with a distally based sural neurocutaneous flap or propeller flap based on peroneal artery perforators. A free flap was used in the big size defect presented. Mean follow-up was 16 month (range 5-41 month). Stable coverage was achieved in all cases and no revision surgery was needed. conclusions: Soft-tissue complications associated to lateral approach for calcaneal fractures needs an ordered approach. The algorithm presented including propeller perforator flaps proved to be safe and useful.Key words: Lower limb reconstruction, propeller flap, perforator flap.resumen introducción: Las fracturas de calcáneo son las fracturas más frecuentes de los huesos del tarso. Diversos estudios han mostrado alta tasa de complicaciones del abordaje que requieren cobertura. El objetivo principal es presentar un nuevo algoritmo de tratamiento para estos defectos de cobertura. material y Agosto; artículO de inVestigaciÓn *Recibido el 3 de noviembre de 2014 y aceptado para publicación el 30 de noviembre de 2014.

INTRODUCCIÓNEl uso de la contracepción hormonal femenina (AC) se inició a principios de los años 60 con los anticonceptivos orales de primera generación. Hasta la fecha unos 200 millones de mujeres en el mundo la han utilizado (1). El método más utilizado es el anticonceptivo oral (ACO) combinado, que contiene estrógenos y progestágenos, que se prepara a partir de varios componentes, en distintas dosis y combinaciones. Otros tipos contienen solo progestágenos, que pueden ser orales (APO) o RESUMEN Antecedentes: Una de las asociaciones más controversiales con respecto al uso de anticonceptivos orales (ACO) corresponde al eventual aumento de riesgo de desarrollo de cáncer de mama. Objetivo: Determinar si la evidencia disponible en la actualidad apoya esta asociación. Método: Se analizaron cinco trabajos de un total de doce revisados, de acuerdo a los criterios y niveles de evidencia propuestos por la Universidad de Oxford. Resultados: Pudimos inferir que en base a la evidencia actual el uso de ACO sí se relaciona con un aumento del riesgo de presentar cáncer de mama durante y una vez suspendido su uso. Sin embargo, este riesgo se iguala al de la población no usuaria a los diez años post suspensión de ACO. Esta relación sería independiente a la cantidad de años de uso de anticonceptivos, y tendría relación con la cantidad de estrógeno contenida por cada tipo particular de anticonceptivo. Conclusión: Serán necesarios nuevos estudios que evalúen las formulaciones más recientes de anticonceptivos cuando las usuarias alcancen la edad de mayor incidencia de cáncer de mama (40-60 años).PALABRAS CLAVE: Anticonceptivos orales, cáncer de mama, riesgo SUMMARY Background: One of the most controversial associations regarding the use of oral contraceptives has been the possibility of increasing risk of developing breast cancer. Objective: To determine if the available evidence supports that association. Methods: We analyzed 5 articles of a total of 12 that were reviewed. We used the levels of evidence and grades of recommendation of the Oxford-Centre for Evidence-Based Medicine. Results: We were able to infer that, based on the available evidence, the use of oral contraceptives correlates with an elevated risk of developing breast cancer during and after ending it's use. This risk equals that of the non users after 10 years post cessation of use. This association would be independent of the amount of years the contraceptives were used but would be correlated with the amount of estrogen that they contain. Conclusion: New studies that evaluate the new contraceptive formulations must be undergone when their users reach the age of highest incidence of breast cancer (40-60 years).