지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Pressure ulcers remain a common health problem, particularly among physically limited or bedridden older adults, and they can cause significant morbidity and mortality. Conservative management is ineffective for stage III or IV pressure ulcers, and surgery to create flap coverage becomes inevitable. Basic surgical principles for the treatment of pressure ulcers include complete excision of the ulcer, surrounding scar, underlying bursa, and soft tissue calcification; radical removal of underlying bone and any heterotropic ossification; padding of bone stumps and filling dead space; resurfacing with large regional pedicled flaps; and grafting the donor site of the flap, if necessary. For effective edge resection, all the flaps should be designed to be as large as possible, placing the suture line away from the area of direct pressure, and the flap design should also not violate adjacent flap territories to preserve all options for coverage if a breakdown or recurrence dictates further reconstruction. There are surgical methods for stage III or IV wide range pressure ulcers: reconstruction surgery using a skin flap, muscle flap, fascia-skin flap, or free flap. The skin graft is not generally recommended as a surgical procedure for stage III or IV pressure ulcers because it cannot provide enough strength to cover the wound. This review presents various surgical treatments of pressure ulcers including muscle, musculocutaneous, perforator-based, and free flap.
목차
등록된 정보가 없습니다.
참고문헌 (37)
참고문헌 신청
Jung Hwan Kim / 2019 / A case of acute skin failure misdiagnosed as a pressure ulcer, leading to a legal dispute / Archives of Plastic Surgery 46(1):75~78
Fogerty MD / 2008 / Risk factors for pressure ulcers in acute care hospitals / Wound Repair Regen 16:11~18
Sheerin F / 2005 / Pressure ulcers and spinal-cord injury : incidence among admissions to the Irish national specialist unit / J Wound Care 14:112~115
Han HH / 2017 / Factors for postoperative complications following pressure ulcer operation : stepwise multiple logistic regression analysis / Int Wound J 14:1036~1040
Choi EC / 2009 / The treatment of intractable pressure sores using VAC(vacuum assisted closure) / J Korean Wound Manag Soc 5:50~56
Fogerty MD / 2008 / Risk factors for pressure ulcers in acute care hospitals / Wound Repair Regen 16:11~18
Sheerin F / 2005 / Pressure ulcers and spinal-cord injury : incidence among admissions to the Irish national specialist unit / J Wound Care 14:112~115
Han HH / 2017 / Factors for postoperative complications following pressure ulcer operation : stepwise multiple logistic regression analysis / Int Wound J 14:1036~1040
Choi EC / 2009 / The treatment of intractable pressure sores using VAC(vacuum assisted closure) / J Korean Wound Manag Soc 5:50~56
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