ArticleMedicine2020
Surgical treatment and strategy in patients with pressure sores: A single-surgeon experience.
Article in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Creating Colostomies for Sacral Pressure Ulcers: A Single-Centre Retrospective Study.International wound journal · 2025Article
- Evaluating the efficacy of vascularized pedicled skin flaps in treating sacrococcygeal pressure ulcers.JPRAS open · 2025Article
- Various Flaps Used for Reconstruction of Pressure Injuries: A Narrative Review.World journal of plastic surgery · 2025Review
- Clinical Presentation and Integrated Management of Pressure Injuries in the Emergency Hospital Setting: A Plastic Surgeon's Perspective.Healthcare (Basel, Switzerland) · 2024Article
- Dementia severity and advanced pressure injury procedures and prognosis: A nationwide study in Japan.Geriatrics & gerontology international · 2024Article
- Closed-incision negative pressure wound therapy (NPWT) in elderly patients following sacral pressure sore reconstruction.BMC geriatrics · 2024Article
- Pressure Ulcers-A Longstanding Problem: A 7-Year Neurorehabilitation Unit Experience of Management, Care, and Clinical Outcomes.Diagnostics (Basel, Switzerland) · 2023Article
- Extrinsic factors of pressure injuries in patients during surgery: A frequency matched retrospective study.International wound journal · 2023Article
- Simple and Efficient Pressure Ulcer Reconstruction via Primary Closure Combined with Closed-Incision Negative Pressure Wound Therapy (CiNPWT)-Experience of a Single Surgeon.Journal of personalized medicine · 2022Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
With aging, pressure ulcers become a common health problem causing significant morbidity and mortality for physically limited or bedridden elderly persons. Here, we present our strategy for such patients. Between August 2010 and March 2019, 117 patients were enrolled. Patient age, etiology, defect size and location, flap reconstruction, outcome, and follow-up period were reviewed. Of these patients, 64 were female and 53 were male, with an age range of 21 to 96 years (mean 75.6). The mean area of defect was 61.5 cm. The most common etiology was dementia (33.3%), and ulcers were most frequently caused by sacral pressure (70.3%). The commonest surgical treatment was a V-Y advancement flap (50%). The complication rate was 27.5%, including dehiscence and late recurrence. Negative pressure wound therapy could be used if the initial defect was large. V-Y advancement flap is the most frequent surgical treatment for sacral pressure ulcers because it is simple and available for most types of defect. Primary closure may be considered as the simplest method if the defective area is <16 cm. Intraoperative indocyanine green angiography can help avoid secondary flap revisions. Our protocol ensures a short surgery time, little bleeding, and a low complication rate.
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