The operative treatment of pressure sores in the pelvic region: A 10-year period overview |
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Authors: | János Jósvay András Klauber Béla Both Péter B Kelemen Zsombor Z Varga Pál Cs Pesthy |
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Institution: | 1.Szent Imre Teaching Hospital, Budapest, Hungary;2.National Institute of Medical Rehabilitation, Budapest, Hungary |
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Abstract: | ContextPelvic region pressure sores often develop following spinal cord injury. Surgery is often necessary for long standing, large-sized pressure sores not responding to conservative treatment. Authors analyze their results of a 10-year period, and identify factors contributing to the reduction of the recurrence rate.MethodsA total of 119 pressure sores were operated on 98 patients in two institutions during a 10-year period (1 January 2003 to 31 December 2012). The encountered perioperative complications are summarized, and the recurrence rate is analyzed with a patient follow-up questionnaire.ResultsWe experienced 15 perioperative complications (12.6%). All complications were fully resolved by conservative treatment. Fifty-eight returned patient replies were processed. The average follow-up time after surgery was 5.2 years. The recurrence rate was 5.47%.ConclusionThe strict adherence to surgical indications, full patient compliance, specialized pre- and post-operative patient care, our routinely used preferred surgical method, all contribute to a low post-operative complication rate, long-term flap survival, and an extended recurrence free period. |
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Keywords: | Decubitus ulcer Pelvic region Gluteus maximus flap Tensor fascia lata flap Hamstring flap Musculocutaneous hatchet flap |
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