scholarly journals Heel Pressure Sore: Surgical treatment with the Cone Flap

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Calderon Wilfredo
Keyword(s):  
Surgical Treatment ◽  
Blood Supply ◽  
Pressure Sore ◽  
Pressure Sores ◽  
Treat Ment ◽  
Thin Skin ◽  
Difficult Procedure ◽  
Sole Of The Foot

Introduction: The patients with paraplegia may present pressure sores in the heel because is an area offriction and shearing with a thin and insensible tigth skin. The treat ment include many flaps but ussually they are of difficult procedure. The Cone flap, described in PRS, is a good, reliable aneasy flap for treatment of the pressure sore in the heel. Objetive: Show the casuistic of the Cone flap for repair of the pressure sore of the heel in paraplegic patients. Material and Method: Since 2016 through 2019 we operated on ten paraplegics patients with pressure sore in the heel with espoesedcal caneous bone. The flap chosen was the Cone flap that combine a rotation and a V-Y fasciocutaneousone. Both flap are taken from the sole of the foot and transferred to the ulcer. Discussion and Conclusion: The treatment of pressure sores of the heel in paraplegic patients is very difficult because of the low blood supply of this area with a tight and thin skin. The Cone flap is an easy, reliable and sure one with good results giving blood supply to the area.

Role of topical insulin therapy as an adjunct in the management of pressure ulcer

2020 ◽  
Vol 2 (3) ◽  
pp. 01-03
Author(s):  
Ravi Chittoria
Keyword(s):  
Wound Healing ◽  
Insulin Therapy ◽  
Pressure Ulcer ◽  
Healing Rate ◽  
Pressure Sore ◽  
Pressure Sores ◽  
Established Method ◽  
Wound Bed Preparation ◽  
Wound Healing Rate

Pressure ulcer or pressure sore is one of the complications seen in bedridden patients. Management of these ulcers is often challenging. But there is no well-established method that accelerates the wound healing rate. Various adjunctive methods are used for wound bed preparation before definitive reconstruction plan is made. Here we describe our experience in the role of insulin therapy as an adjunct in the management of pressure sores.

scholarly journals Prevention and treatment of pressure sore following spinal cord injury

2020 ◽  
Vol 63 (10) ◽  
pp. 623-632
Author(s):  
Myeong Ok Kim
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Pressure Ulcer ◽  
Wound Care ◽  
Pressure Sore ◽  
Therapeutic Interventions ◽  
Advisory Panel ◽  
Pressure Sores ◽  
Cord Injury ◽  
Pressure Injury

Pressure sores or pressure injury is a serious complication of a spinal cord injury (SCI), representing a challenging problem for patients, their caregivers, and their physicians. Persons with SCI are vulnerable to pressure sores throughout their life. Pressure sores can potentially interfere with the physical, psychosocial, and overall quality of life. Outcomes directly depend on education and prevention along with conservative and surgical management. Therefore, it is very important to understand everything about pressure sores following SCI. This review covers epidemiology, cost, pathophysiology, risk factors, staging, evaluation tools, prevention, education, conservative wound care methods, surgical treatment, and future trends in wound healing related to post-SCI pressure sores. A change in nomenclature was adopted by the National Pressure Ulcer Advisory Panel in 2016, replacing “pressure ulcer”with “pressure injury.” New concepts of pressure injury staging, such as suspected deep tissue injuries and unstageable pressure injuries, were also introduced. A systematic evidence-based review of the prevention of and therapeutic interventions for pressure sores was also discussed.

scholarly journals "Bacteriological Status of Pressure Sore - A Study of 50 Cases"

2013 ◽  
Vol 3 (1) ◽  
pp. 19-23
Author(s):  
SI Hossain ◽  
SH Khundkar
Keyword(s):  
Bacterial Load ◽  
Care Facility ◽  
Pressure Sore ◽  
Pressure Sores ◽  
Quantitative Culture ◽  
Term Care ◽  
Long Term Care Facility ◽  
Sensitivity Pattern ◽  
Significant Difference

Background of the study: Pressure sores are major cause of morbidity and mortality in the patients of the long term care facility. Infected pressure sores are very difficult to treat. Managing pressure sore needs care and expertise. Objectives: To study the bacteriological status of pressure sore by qualitative and quantitative culture and to find out the sensitivity pattern of the isolated bacteria to the various antibiotics. Methods: 50 patients were included in this study. Wound swabs were collected from pressure sore and deep tissue specimen sampled from pressure sore for quantitative culture in 1st and 3rd visit at 20 days interval. Patients with pressure sore were followed up for healing and their wound healing rate according to PUSH Tool 3.0 is correlated with the bacterial load in the pressure sore. Results were summarized in data table and analyzed. Results: Pseudomonas species were found to be most frequent bacterial isolate followed by E.Coli. Next leading isolated bacteria were Staph. Aureus and Proteus. Ceftazidime, Amikacin, Ciprofloxacin and Gentamycin showed higher percentage of sensitivity and organisms mostly resistant to Ampicillin,Amoxycillin, Co trimoxazole,Flucloxacillin, Ceftriaxone. Quantitative culture of the pressure sore revealed that 40.5% of the sore had bacterial load >105 CFU/ gm of tissue and 59.5% had bacterial load <105 CFU/gm of tissue on 1st visit. On 3rd visit quantitative culture of the pressure sore after 20 days showed decrease in frequency of >105 CFU/ gm of tissue to 21( 28.37%). No statistically significant decrease of bacterial load from 1st to 3rd visit noted. No significant difference in healing also noted in between two groups and in different bacterial species.DOI: http://dx.doi.org/10.3329/bdjps.v3i1.15002 Bangladesh Journal of Plastic Surgery 2012, 3(1): 19-23

The Relationship between Engagement in Occupations and Pressure Sore Development in Saudi Men with Paraplegia

2005 ◽  
Vol 68 (7) ◽  
pp. 307-314 ◽  
Author(s):  
Ruth Cutajar ◽  
Anne Roberts
Keyword(s):  
Occupational Therapy ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Spinal Cord Injuries ◽  
Occupational Therapists ◽  
Pressure Sore ◽  
Pressure Sores ◽  
Level Of Activity ◽  
Occupational Activities ◽  
The Individual

Various research studies have explored the factors that predispose people with spinal cord injuries to pressure sore development. Two hundred risk factors have been associated with pressure sore occurrence. One of the variables commonly reported to affect pressure sore occurrence is a decreased level of activity (Vidal and Sarrias 1991, Fuhrer et al 1993). This concurs with the philosophy of occupational therapy that a reduction in activity can generate pathology (Miller et al 1988). This research study investigated whether decreased participation in occupational activities (work, leisure and activities of daily living) was related to pressure sore occurrence in paraplegic men. The sample was selected randomly from the occupational therapy discharge files of a rehabilitation facility in Saudi Arabia. The data were collected by means of a telephone questionnaire from a total of 58 men, over a 3-month period. The study showed that there was a large increase in unemployment in paraplegic men following injury (from 10% to 59%) and, as might be expected, manual workers were more vulnerable than office workers. The study found no significant association between pressure sore occurrence and whether or not the individual was employed. However, it showed a statistically significant association between unemployment and pressure sores severe enough to lead to hospitalisation. The study also found a statistically significant association between individuals' independence in activities of daily living and the number of pressure sores that they had reported in the last 2 years. These findings indicate the potential importance of clients remaining occupationally active for their wellbeing and the significant contribution that occupational therapists can make by enabling rehabilitation of occupational activities.

scholarly journals The pulmonary vascular blood supply in the pulmonary atresia with ventricular septal defect and its implications in surgical treatment

2003 ◽  
Vol 18 (1) ◽  
pp. 23-31
Author(s):  
Ulisses Alexandre Croti ◽  
Miguel Lorenzo Barbero Marcial ◽  
Carla Tanamati ◽  
Marcelo Biscegli Jatene ◽  
Sergio Almeida de Oliveira
Keyword(s):  
Surgical Treatment ◽  
Ventricular Septal Defect ◽  
Blood Supply ◽  
Septal Defect ◽  
Pulmonary Atresia

scholarly journals Giant trochanteric pressure sore: Use of a pedicled chimeric perforator flap for cover

2009 ◽  
Vol 42 (01) ◽  
pp. 126-129
Author(s):  
Sandeep Mehrotra
Keyword(s):  
Perforator Flap ◽  
Pressure Sore ◽  
Pressure Sores ◽  
Ageing Population ◽  
Fasciocutaneous Flaps ◽  
Anterolateral Thigh ◽  
Complex Wounds

ABSTRACTPressure sores are increasing in frequency commensurate with an ageing population with multi-system disorders and trauma. Numerous classic options are described for providing stable wound cover. With the burgeoning knowledge on perforator anatomy, recent approaches focus on the use of perforator-based flaps in bedsore surgery. A giant neglected trochanteric pressure sore in a paraplegic is presented. Since conventional options of reconstruction appeared remote, the massive ulcer was successfully managed by a chimeric perforator-based flap. The combined muscle and fasciocutaneous flaps were raised as separate paddles based on the anterolateral thigh perforator branches and provided stable cover without complications. Perforators allow versatility in managing complex wounds without compromising on established principles.

scholarly journals Spinal cord injured patients’ knowledge of pressure sores

2001 ◽  
Vol 57 (4) ◽  
pp. 9-13
Author(s):  
W. Mudzi ◽  
A. Steward ◽  
C. Eales
Keyword(s):  
Spinal Cord ◽  
Occupational Therapists ◽  
Pressure Sore ◽  
Test Method ◽  
Knowledge Gain ◽  
Pressure Sores ◽  
Post Test ◽  
Discharge Pressure ◽  
Injured Patients ◽  
Spinal Cord Injured

Despite much effort being put into educating spinal cord injured patients on pressure sore prevention, pressure sores remain a major cause of morbidity and mortality. This study sought to establish: i) paraplegics’ knowledge on pressure sore prevention prior to discharge; ii) the influence of knowledge on pressure sore occurrence during hospitalization; iii) sources of paraplegics’ knowledge on pressure sore prevention. A total of twenty-six men and two women with paraplegia aged between 18 and 45 years participated in the study. A rospective pre-test post-test method using a structured questionnaire was used to test paraplegics’ knowledge on pressure sore prevention. The first interview was done within one week of mobilising in a wheelchair and the second one after two months or a few days before discharge. Pressure sore occurrence and the source of knowledge were also recorded. The results showed that paraplegics’ knowledge on pressure sore prevention at discharge is incomplete. Knowledge gain does not seem to determine whether one will develop pressure sores or not. Physiotherapists (89%), nurses (82%) and occupational therapists (68%) are the main educators of paraplegics on pressure sore prevention in rehabilitation hospitals.

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