Pressure ulcers: surgical intervention

摘要: Pressure ulcers are tissue damage, mainly over a bony prominence, occurring in critically ill, paraplegic, bedbound and elderly patients. They classified from stage 1-4, the most common sites around pelvic area (sacral, trochanteric ischial). Stages 1 2 usually heal with non-surgical, conservative management, while stages 3 4 require surgical approach. Preoperative, intraoperative postoperative measures paramount for successful operative repair of pressure ulcers, together proper patient selection adequate support patient’s circle care. Surgical choice is based on principles, surgeon experience preference, subject to individual choice. Reconstructive options complexity repair, type used close ulcer, specific flap design chosen by trained reconstructive surgeon. The procedures, ascending level complexity, direct (primary) closure; skin grafts; local, fasciocutaneous, muscular, myocutaneous, perforator free flaps. A high recurrence rate, associated complications costs remain challenge regard management these chronic wounds, this remains worldwide. Prevalence studies lacking South Africa, preclude estimates relating clinical treatment country. Prevention still best strategy avoid litigation elevated ulcer management.