Surgical treatment of pressure ulcers

Although a pressure ulcer is a potentially serious condition that always calls for treatment, only a small percentage of patients with pressure ulcers are candidates for surgery. The choice between conservative treatment and surgery for a pressure ulcer depends on a thorough evaluation of the ulcer,...

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Veröffentlicht in:The American journal of surgery 2004-07, Vol.188 (1), p.42-51
Hauptverfasser: Sørensen, Jens Lykke, Jørgensen, Bo, Gottrup, Finn
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container_title The American journal of surgery
container_volume 188
creator Sørensen, Jens Lykke
Jørgensen, Bo
Gottrup, Finn
description Although a pressure ulcer is a potentially serious condition that always calls for treatment, only a small percentage of patients with pressure ulcers are candidates for surgery. The choice between conservative treatment and surgery for a pressure ulcer depends on a thorough evaluation of the ulcer, as well as the patient's physical and mental states. In general, superficial pressure ulcers (stages I and II) are likely to benefit from conservative treatment. Deep pressure ulcers (stages III and IV, often resulting from spinal cord injury) often require surgical intervention. The surgical techniques described in this essay include direct closure (which is rarely indicated), local and sensate flaps, and skin grafting. Skin transplantation and cutaneous and other thin flaps have more limited indications in pressure ulcer surgery. Thorough debridement before reconstruction, patient compliance, control of concomitant disease, professional postoperative support, and sufficient pressure relief are imperative for treatment success.
doi_str_mv 10.1016/S0002-9610(03)00290-3
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subjects Antibiotics
Debridement
Health care
Humans
Infections
Patient Selection
Patients
Pressure Ulcer - pathology
Pressure Ulcer - surgery
Pressure ulcers
Recurrence
Spinal cord
Spinal cord injuries
Substance abuse treatment
Surgery
Surgical Flaps
Wound healing
title Surgical treatment of pressure ulcers
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