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Revista Cubana de Angiología y Cirugía Vascular

On-line version ISSN 1682-0037

Abstract

RIOS CABALLERO, Yailin; ELISEO MUSENDEN, Osvaldo; PEGUERO BRINGUEZ, Yanela  and  SANTANA CABALLERO, Roberto. Heberprot-P® in the treatment of distal vascular trauma. Rev Cubana Angiol Cir Vasc [online]. 2023, vol.24, n.1  Epub Jan 30, 2023. ISSN 1682-0037.

Introduction:

Trauma is a frequent cause of consultation. Among its most common locations are the lower extremities. Heberprot-P® is an epidermal growth factor that has been used for more than a decade for the healing of diabetic foot ulcers with excellent results. Extending its use to other pathologies, including traumatic etiology ones, would expand the therapeutic possibilities for wound healing.

Objective:

To present the result of the application of Heberprot-P® in a Chopart´s amputation in a patient with distal vascular trauma.

Case presentation:

A 23-year-old male patient with a health history. After trauma from a traffic accident, he presented a fracture of the bones of the metatarsus and the whole section of the left foot´s pedis artery, which caused a wet gangrene of the extremity. For this reason, a Chopart´s amputation of the foot was performed. Heberprot-P® was used as therapy to shorten healing time.

Conclusions:

Heberprot-P® was useful for wound evolution as a result of vascular trauma, avoiding major amputation, accelerating the healing process and preserving a functional limb, which showed that it can be an effective therapy for wounds that are difficult to heal, regardless of their etiology.

Keywords : lower extremities; Chopart´s amputation; vascular trauma; epidermal growth factor; Heberprot-P®; cicatrization.

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