Management of a large Stage 4 sacrococcygeal pressure injury with surgical debridement and Negative Pressure Wound Therapy

Background: Pressure injuries, affecting millions annually, pose substantial challenges globally. Aim: Presentation of the management of a patient with a large sacrococcygeal pressure injury in our tertiary hospital. Case presentation: Our (case) study highlights the case of a 67-year-old male with severe comorbidities and a significant sacrococcygeal pressure injury managed through surgical debridement and negative pressure wound therapy (NPWT). The patient’s condition, complicated by infection, necessitated tailored treatment. NPWT, applied for 80 days and followed by absorbent dressings, facilitated granulation tissue formation and wound closure within 162 days post-NPWT cessation. Conclusion: The case underscores the efficacy of NPWT in conjunction with infection control strategies, offering insights into managing complex pressure injuries, especially in settings with limited surgical resources.