Comprehensive management of pressure ulcers  5 year experience

Salesh Kumar Soni; Hiren Rana; Manav P. Suri; Jayesh P. Sachde; M. F. Shaikh

Volume : VI, Issue : IX, September - 2017

Comprehensive management of pressure ulcers 5 year experience

Salesh Kumar Soni, Hiren Rana, Manav P. Suri, Jayesh P. Sachde, M. F. Shaikh

Abstract :

Background: Pressure ulcers can be defined as lesions caused by unrelieved pressure between a hard surface and a bony prominence leading to molecular death of the skin and soft tissue. Many external and internal factors also contributes to the condition. The basic treatment strategy is wide and adequate deidement of dead and scared tissue, excision of underlying bursa and involved bony prominence, f/b tissue coverage. In this article we are sh� our experience in coverage of pressure ulcers and our analysis of patient characteristics, outcomes, and complications.

Methods: A total of 80 pressure ulcers were treated, most prevalent of which was sacral ulcer. In 90 % of the cases pressure sore developed during hospital stay. 95 % were quadri/paraplegics. Treatment comprised of wide deidement by pseudo tumor technique f/b primary suturing, random skin flaps, myocutaneous flaps of the gluteus maximus, classic fasciocutaneous flaps of fascia lata, and posterior fasciocutaneous flaps of the thigh.

Results: Healing achieved in all the patients. Most common complication was suture dehiscence. Proper Post operative care is must to prevent reoccurrence.

Conclusions: The best therapy for Pressure ulcers management is its prevention. Multi–professional and family participation is essential for the treatment of patients with pressure ulcers since recurrence is the rule if preventive measures are not taken.