The operative treatment of pressure sores in the pelvic region: A 10-year period overview
Context Pelvic region pressure sores often develop following spinal cord injury. Surgery is often necessary for long standing, large-sized pressure sores not responding to conservative treatment. Authors analyze their results of a 10-year period, and identify factors contributing to the reduction of...
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| Veröffentlicht in: | The journal of spinal cord medicine 2015-07, Vol.38 (4), p.432-438 |
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| container_title | The journal of spinal cord medicine |
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| creator | Jósvay, János Klauber, András Both, Béla Kelemen, Péter B. Varga, Zsombor Z. Pesthy, Pál Cs |
| description | Context
Pelvic region pressure sores often develop following spinal cord injury. Surgery is often necessary for long standing, large-sized pressure sores not responding to conservative treatment. Authors analyze their results of a 10-year period, and identify factors contributing to the reduction of the recurrence rate.
Methods
A total of 119 pressure sores were operated on 98 patients in two institutions during a 10-year period (1 January 2003 to 31 December 2012). The encountered perioperative complications are summarized, and the recurrence rate is analyzed with a patient follow-up questionnaire.
Results
We experienced 15 perioperative complications (12.6%). All complications were fully resolved by conservative treatment. Fifty-eight returned patient replies were processed. The average follow-up time after surgery was 5.2 years. The recurrence rate was 5.47%.
Conclusion
The strict adherence to surgical indications, full patient compliance, specialized pre- and post-operative patient care, our routinely used preferred surgical method, all contribute to a low post-operative complication rate, long-term flap survival, and an extended recurrence free period. |
| doi_str_mv | 10.1179/2045772314Y.0000000266 |
| format | Article |
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Pelvic region pressure sores often develop following spinal cord injury. Surgery is often necessary for long standing, large-sized pressure sores not responding to conservative treatment. Authors analyze their results of a 10-year period, and identify factors contributing to the reduction of the recurrence rate.
Methods
A total of 119 pressure sores were operated on 98 patients in two institutions during a 10-year period (1 January 2003 to 31 December 2012). The encountered perioperative complications are summarized, and the recurrence rate is analyzed with a patient follow-up questionnaire.
Results
We experienced 15 perioperative complications (12.6%). All complications were fully resolved by conservative treatment. Fifty-eight returned patient replies were processed. The average follow-up time after surgery was 5.2 years. The recurrence rate was 5.47%.
Conclusion
The strict adherence to surgical indications, full patient compliance, specialized pre- and post-operative patient care, our routinely used preferred surgical method, all contribute to a low post-operative complication rate, long-term flap survival, and an extended recurrence free period.</description><identifier>ISSN: 1079-0268</identifier><identifier>EISSN: 2045-7723</identifier><identifier>DOI: 10.1179/2045772314Y.0000000266</identifier><identifier>PMID: 25299238</identifier><language>eng</language><publisher>England: Taylor & Francis</publisher><subject>Adolescent ; Adult ; Aged ; Decubitus ulcer ; Female ; Gluteus maximus flap ; Hamstring flap ; Humans ; Male ; Middle Aged ; Musculocutaneous hatchet flap ; Pelvic region ; Pelvis - pathology ; Pelvis - surgery ; Pressure Ulcer - etiology ; Pressure Ulcer - surgery ; Reviews ; Skin Transplantation - adverse effects ; Spinal Cord Injuries - complications ; Tensor fascia lata flap</subject><ispartof>The journal of spinal cord medicine, 2015-07, Vol.38 (4), p.432-438</ispartof><rights>The Academy of Spinal Cord Injury Professionals, Inc. 2015 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c472t-e292df446b0f582ac50f6a11d4f4d1b97b224f68a46f80194fe7554e6a4e418a3</citedby><cites>FETCH-LOGICAL-c472t-e292df446b0f582ac50f6a11d4f4d1b97b224f68a46f80194fe7554e6a4e418a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4612198/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4612198/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,27926,27927,53793,53795</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25299238$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jósvay, János</creatorcontrib><creatorcontrib>Klauber, András</creatorcontrib><creatorcontrib>Both, Béla</creatorcontrib><creatorcontrib>Kelemen, Péter B.</creatorcontrib><creatorcontrib>Varga, Zsombor Z.</creatorcontrib><creatorcontrib>Pesthy, Pál Cs</creatorcontrib><title>The operative treatment of pressure sores in the pelvic region: A 10-year period overview</title><title>The journal of spinal cord medicine</title><addtitle>J Spinal Cord Med</addtitle><description>Context
Pelvic region pressure sores often develop following spinal cord injury. Surgery is often necessary for long standing, large-sized pressure sores not responding to conservative treatment. Authors analyze their results of a 10-year period, and identify factors contributing to the reduction of the recurrence rate.
Methods
A total of 119 pressure sores were operated on 98 patients in two institutions during a 10-year period (1 January 2003 to 31 December 2012). The encountered perioperative complications are summarized, and the recurrence rate is analyzed with a patient follow-up questionnaire.
Results
We experienced 15 perioperative complications (12.6%). All complications were fully resolved by conservative treatment. Fifty-eight returned patient replies were processed. The average follow-up time after surgery was 5.2 years. The recurrence rate was 5.47%.
Conclusion
The strict adherence to surgical indications, full patient compliance, specialized pre- and post-operative patient care, our routinely used preferred surgical method, all contribute to a low post-operative complication rate, long-term flap survival, and an extended recurrence free period.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Decubitus ulcer</subject><subject>Female</subject><subject>Gluteus maximus flap</subject><subject>Hamstring flap</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Musculocutaneous hatchet flap</subject><subject>Pelvic region</subject><subject>Pelvis - pathology</subject><subject>Pelvis - surgery</subject><subject>Pressure Ulcer - etiology</subject><subject>Pressure Ulcer - surgery</subject><subject>Reviews</subject><subject>Skin Transplantation - adverse effects</subject><subject>Spinal Cord Injuries - complications</subject><subject>Tensor fascia lata flap</subject><issn>1079-0268</issn><issn>2045-7723</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkTFv2zAQhYmgRey4-QsBxy5ySIqixA4FDCNNChjokg6ZCFo6JiwkUT3KMvzvS8Nukk69hQe-794d8Ai54WzJealvBZNFWYqcy6clO5VQ6oLMj0J2VD6QOWelztJ_NSNXMf5irNA6zy_JTBRCa5FXc_L0-AI0DIB29BPQEcGOHfQjDY4OCDHuEGgMqaO-p2OCB2gnX1OEZx_6L3RFOcsOYDEJ6ENDwwQ4edh_Ih-dbSNcn98F-fnt7nH9kG1-3H9frzZZLUsxZiC0aJyUastcUQlbF8wpy3kjnWz4VpdbIaRTlZXKVYxr6aAsCgnKSpC8svmCfD35DrttB02djkfbmgF9Z_FggvXmX6X3L-Y5TEYqLriuksHnswGG3zuIo-l8rKFtbQ9hFw1XWgidK1YmVJ3QGkOMCO51DWfmmIt5l4t5yyUN3rw_8nXsbxAJWJ0A37uAnd0HbBsz2kMb0KHtax9N_p8lfwCDT53k</recordid><startdate>20150701</startdate><enddate>20150701</enddate><creator>Jósvay, János</creator><creator>Klauber, András</creator><creator>Both, Béla</creator><creator>Kelemen, Péter B.</creator><creator>Varga, Zsombor Z.</creator><creator>Pesthy, Pál Cs</creator><general>Taylor & Francis</general><general>Maney Publishing</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150701</creationdate><title>The operative treatment of pressure sores in the pelvic region: A 10-year period overview</title><author>Jósvay, János ; Klauber, András ; Both, Béla ; Kelemen, Péter B. ; Varga, Zsombor Z. ; Pesthy, Pál Cs</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c472t-e292df446b0f582ac50f6a11d4f4d1b97b224f68a46f80194fe7554e6a4e418a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Decubitus ulcer</topic><topic>Female</topic><topic>Gluteus maximus flap</topic><topic>Hamstring flap</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Musculocutaneous hatchet flap</topic><topic>Pelvic region</topic><topic>Pelvis - pathology</topic><topic>Pelvis - surgery</topic><topic>Pressure Ulcer - etiology</topic><topic>Pressure Ulcer - surgery</topic><topic>Reviews</topic><topic>Skin Transplantation - adverse effects</topic><topic>Spinal Cord Injuries - complications</topic><topic>Tensor fascia lata flap</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jósvay, János</creatorcontrib><creatorcontrib>Klauber, András</creatorcontrib><creatorcontrib>Both, Béla</creatorcontrib><creatorcontrib>Kelemen, Péter B.</creatorcontrib><creatorcontrib>Varga, Zsombor Z.</creatorcontrib><creatorcontrib>Pesthy, Pál Cs</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The journal of spinal cord medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jósvay, János</au><au>Klauber, András</au><au>Both, Béla</au><au>Kelemen, Péter B.</au><au>Varga, Zsombor Z.</au><au>Pesthy, Pál Cs</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The operative treatment of pressure sores in the pelvic region: A 10-year period overview</atitle><jtitle>The journal of spinal cord medicine</jtitle><addtitle>J Spinal Cord Med</addtitle><date>2015-07-01</date><risdate>2015</risdate><volume>38</volume><issue>4</issue><spage>432</spage><epage>438</epage><pages>432-438</pages><issn>1079-0268</issn><eissn>2045-7723</eissn><abstract>Context
Pelvic region pressure sores often develop following spinal cord injury. Surgery is often necessary for long standing, large-sized pressure sores not responding to conservative treatment. Authors analyze their results of a 10-year period, and identify factors contributing to the reduction of the recurrence rate.
Methods
A total of 119 pressure sores were operated on 98 patients in two institutions during a 10-year period (1 January 2003 to 31 December 2012). The encountered perioperative complications are summarized, and the recurrence rate is analyzed with a patient follow-up questionnaire.
Results
We experienced 15 perioperative complications (12.6%). All complications were fully resolved by conservative treatment. Fifty-eight returned patient replies were processed. The average follow-up time after surgery was 5.2 years. The recurrence rate was 5.47%.
Conclusion
The strict adherence to surgical indications, full patient compliance, specialized pre- and post-operative patient care, our routinely used preferred surgical method, all contribute to a low post-operative complication rate, long-term flap survival, and an extended recurrence free period.</abstract><cop>England</cop><pub>Taylor & Francis</pub><pmid>25299238</pmid><doi>10.1179/2045772314Y.0000000266</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The journal of spinal cord medicine, 2015-07, Vol.38 (4), p.432-438 |
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| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Decubitus ulcer Female Gluteus maximus flap Hamstring flap Humans Male Middle Aged Musculocutaneous hatchet flap Pelvic region Pelvis - pathology Pelvis - surgery Pressure Ulcer - etiology Pressure Ulcer - surgery Reviews Skin Transplantation - adverse effects Spinal Cord Injuries - complications Tensor fascia lata flap |
| title | The operative treatment of pressure sores in the pelvic region: A 10-year period overview |
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