Application of damage control surgery in patients with sacrococcygeal deep decubitus ulcers complicated by sepsis |
| |
| Authors: | Zhiyi Wei Jingfa Zhu Tianlai Lin Hehui Cai Xiangjian Fang Yixin Zhu Xiaolan Yang Juntao Cheng |
| |
| Institution: | 1.Department of Burn Intensive Care Unit, Quanzhou First Hospital, Quanzhou City, Fujian Province, P.R. China; 2.Department of Emergency, Quanzhou First Hospital, Quanzhou City, Fujian Province, P.R. China; 3.Department of Intensive Care Unit, Quanzhou First Hospital, Quanzhou City, Fujian Province, P.R. China; 4.Department of Medical Laboratory, Quanzhou First Hospital, Quanzhou City, Fujian Province, P.R. China |
| |
| Abstract: | ObjectiveTo evaluate the clinical application of damage control surgery (DCS) in patients with sacrococcygeal deep decubitus ulcers complicated by sepsis.MethodsWe conducted a 3-year retrospective clinical study of 32 patients with deep sacrococcygeal bedsores and sepsis admitted from January 2018 to January 2021. According to the concept of DCS, the wound was temporarily closed with vacuum sealing drainage after primary debridement, and a local rhomboid flap was designed to repair the wound in the second stage. Finally, the clinical therapeutic effect was observed.ResultsTwenty-nine patients were treated with skin flap translocation and were cured clinically. Specifically, the skin flap survived in 27 of the 29 patients after the first translocation attempt (success rate of 93.1%). One patient developed incisional dehiscence, and one patient developed a hydrocele under the skin flap.ConclusionsApplication of DCS in patients with sacrococcygeal deep decubitus ulcers complicated by sepsis improves the therapeutic success rate and reduces the risks of the operation and complication rate. It has unique advantages and is worthy of clinical promotion. |
| |
| Keywords: | Sacrococcygeal deep decubitus ulcer sepsis damage control surgery modified rhomboid flap vacuum sealing drainage bedsore |
|
|
