Surgical treatment of pressure ulcers

American Journal of Surgery
Jens Lykke SørensenFinn Gottrup

Abstract

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.

References

Feb 1, 1992·Annals of Plastic Surgery·A D Mandrekas, D P Mastorakos
Feb 1, 1992·Plastic and Reconstructive Surgery·J J DisaN H Goldberg
Nov 1, 1991·Journal of General Internal Medicine·E L Siegler, R Lavizzo-Mourey
Dec 1, 1990·Plastic and Reconstructive Surgery·I J Peled
Aug 1, 1989·Plastic and Reconstructive Surgery·S S Kroll, S Hamilton
Feb 1, 1988·Plastic and Reconstructive Surgery·V L LewisR W Hendrix
Jan 1, 1988·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·M Relander, B Palmer
Jan 1, 1986·Scandinavian Journal of Plastic and Reconstructive Surgery·M PersI M Nielsen
Aug 1, 1969·Plastic and Reconstructive Surgery·J RoyerF Thorne
Nov 1, 1995·Plastic and Reconstructive Surgery·R C Hagerty, W L Gould
Oct 1, 1993·Annals of Plastic Surgery·A SiddiquiV L Lewis
Jan 1, 1993·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·G EspositoN Scuderi
Jun 1, 1996·Spinal Cord·A AggarwalK M Batra
Jul 1, 1997·British Journal of Plastic Surgery·R D FosterW Y Hoffman
Jun 12, 1998·Plastic and Reconstructive Surgery·S Park, K S Koh
Oct 17, 1998·Plastic and Reconstructive Surgery·A R ErçöçenE Yormuk
Feb 16, 2000·British Journal of Plastic Surgery·K TavakoliJ Vandervord

❮ Previous
Next ❯

Citations

May 9, 2009·World Journal of Surgery·Jessica SchiffmanHarold Brem
Jul 16, 2011·The Journal of Spinal Cord Medicine·J González SarasúaJ Otero Hernández
May 16, 2008·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·T KremerG A Giessler
Nov 5, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Jinguang HeJiasheng Dong
Jul 28, 2009·Journal of the American College of Surgeons·Michael S GolinkoHarold Brem
Feb 6, 2007·Clinics in Dermatology·Lawrence Charles ParishJoseph A Witkowski
Jul 15, 2015·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Takumi YamamotoIsao Koshima
Mar 1, 2006·Expert Opinion on Emerging Drugs·Karen Meier, Lillian B Nanney
Aug 5, 2008·Archives of Physical Medicine and Rehabilitation·Diana H RintalaSally Ann Holmes
Sep 12, 2016·Annales de chirurgie plastique et esthétique·M HaiunJ Pauchot
Oct 31, 2007·Clinics in Plastic Surgery·Benjamin Levi, Riley Rees
May 9, 2007·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Kim A TønsethFrank E Abyholm
Jan 5, 2011·Annals of Plastic Surgery·Ching-Hsiang YangPao-Yuan Lin
Feb 1, 2020·Journal of Plastic Surgery and Hand Surgery·Ebba K LindqvistJakob F Lagergren
Aug 9, 2018·Operative Orthopädie und Traumatologie·P M Vogt
Jan 31, 2020·Orbit·Mohsen Bahmani KashkouliMeysam Maleki
Jun 29, 2018·Operative Orthopädie und Traumatologie·R IpaktchiP M Vogt
May 15, 2009·Revista da Escola de Enfermagem da U S P·Adriana Bessa Fernandes MedeirosMaria Salete Bessa Jorge
Jun 11, 2019·Annales de chirurgie plastique et esthétique·Q BettexD Casanova
Apr 20, 2021·The Journal of Surgical Research·Jessica LuoAlvin C Kwok
Nov 2, 2005·The Veterinary Clinics of North America. Small Animal Practice·June Hanks, Gary Spodnick
Sep 3, 2021·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Marco PignattiBeatriz Berenguer

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Related Papers

Archives of Physical Medicine and Rehabilitation
S CharlifueRodney H Adkins
Archives of Physical Medicine and Rehabilitation
Diana D CardenasWilliam McKinley
JAMA : the Journal of the American Medical Association
Madhuri ReddyPaula A Rochon
© 2022 Meta ULC. All rights reserved