Employment of Flap Surgery in Pressure Ulcers Surgical Treatment

Czech version

Authors: A. Hokynková ¹; P. Šín ¹; F. Černoch ¹; M. Nováková ²; P. Babula ²
Authors‘ workplace: Klinika popálenin a rekonstrukční chirurgie LF MU a FN Brno ¹; Fyziologický ústav, LF MU, Brno ²
Published in: Cesk Slov Neurol N 2017; 80(Supplementum 1): 41-44
Category: Original Paper
doi: https://doi.org/10.14735/amcsnn2017S41

Overview

Aim:
Aim of the paper is to describe surgical treatment of pressure ulcers, which includes primarily careful necrectomy with complete extirpation of ulcer’s pseudocyst, removing of fistulas and eventual resection of osteolytic or osteomyelitic centre.

Material and methods:
This case report presents surgical procedure of pressure ulcer treatment, including photo documentation, in a paraplegic patient (born 1974) with pressure ulcer treated by flap surgery.

Conclusion:
Surgical treatment of pressure ulcer requires multidisciplinary approach, especially at the treatment onset. Type as well as timing of flap surgery is planned individually according to patient’s commorbidities, based on size, depth and localisation of defect. Antidecubital prevention in all phases of treatment –⁠ before, during and after the surgery –⁠ significantly decreases risk of acute and late complications and pressure ulcers recurrence.

Key words:
necrectomy –⁠ pressure ulcer –⁠ flap surgery –⁠ treatment

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

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