[PRESSURE ULCER TREATMENT EXPERIENCE AT CLINICAL DEPARTMENT OF PLASTIC, RECONSTRUCTIVE AND AESTHETIC
SURGERY, DUBRAVA UNIVERSITY HOSPITAL: COMPARISON OF RESULTS RECORDED IN THE 2011-2016 AND 2003-2008
PERIOD].
S Budi, R Žic, K Martić, F Rudman, Z Vlajčić, R Milanović, Z Roje, A Munjiza, I Rajković, B Gorjanc, R Held, A Maletić, H Tucaković, Z Stanec
{"title":"[PRESSURE ULCER TREATMENT EXPERIENCE AT CLINICAL DEPARTMENT OF PLASTIC, RECONSTRUCTIVE AND AESTHETIC\nSURGERY, DUBRAVA UNIVERSITY HOSPITAL: COMPARISON OF RESULTS RECORDED IN THE 2011-2016 AND 2003-2008\nPERIOD].","authors":"S Budi, R Žic, K Martić, F Rudman, Z Vlajčić, R Milanović, Z Roje, A Munjiza, I Rajković, B Gorjanc, R Held, A Maletić, H Tucaković, Z Stanec","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Results of this clinical study on surgical treatment of pressure ulcers at Department of Plastic, Reconstructive and Aesthetic\nSurgery, Dubrava University Hospital showed that there was no difference between the 2011-2016 and 2003-2008 periods,\nindicating continuation of good surgical treatment planning and appropriate postoperative care. Despite the smaller number\nof hospitalized patients in the 2011-2016 period (31 patients and 42 reconstructive procedures), the number of reconstructive\nprocedure was similar to the recent 2003-2008 period (47 patients and 57 reconstructive procedures). The best\nresults of reconstruction of sacral region pressure ulcer were achieved with fasciocutaneous and musculocutaneous flaps.\nWhenever possible, depending on the extent of the defect, musculocutaneous flaps should be preferred for reconstruction.\nIt is especially suitable for pressure ulcer recurrence. For ischial region reconstruction, good results can be obtained by mobilizing\nthe semimembranosus and/or semitendinosus in defect gap. For trochanteric region, the tensor fascia lata flap is a\ngood choice. For maximal functional and reconstructive results, a multidisciplinary approach in pressure ulcer treatment has\nthe leading role in the modern concept of wound healing. Surgical treatment should always include radical debridement, ostectomy\nand well planned defect reconstruction. Conservative treatment should be support to surgical treatment with a focus\non patient health care and high hygiene measures. In recent years (2011-2016), the usage of better conservative treatment\nled to reduction of patient hospital stay and surgical treatment of pressure ulcer. Further ‘wound care’ nurses training in\nCroatia can lead the trend towards advanced practice nursing in pressure ulcer prevention and conservative treatment.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Medica Croatica","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Results of this clinical study on surgical treatment of pressure ulcers at Department of Plastic, Reconstructive and Aesthetic
Surgery, Dubrava University Hospital showed that there was no difference between the 2011-2016 and 2003-2008 periods,
indicating continuation of good surgical treatment planning and appropriate postoperative care. Despite the smaller number
of hospitalized patients in the 2011-2016 period (31 patients and 42 reconstructive procedures), the number of reconstructive
procedure was similar to the recent 2003-2008 period (47 patients and 57 reconstructive procedures). The best
results of reconstruction of sacral region pressure ulcer were achieved with fasciocutaneous and musculocutaneous flaps.
Whenever possible, depending on the extent of the defect, musculocutaneous flaps should be preferred for reconstruction.
It is especially suitable for pressure ulcer recurrence. For ischial region reconstruction, good results can be obtained by mobilizing
the semimembranosus and/or semitendinosus in defect gap. For trochanteric region, the tensor fascia lata flap is a
good choice. For maximal functional and reconstructive results, a multidisciplinary approach in pressure ulcer treatment has
the leading role in the modern concept of wound healing. Surgical treatment should always include radical debridement, ostectomy
and well planned defect reconstruction. Conservative treatment should be support to surgical treatment with a focus
on patient health care and high hygiene measures. In recent years (2011-2016), the usage of better conservative treatment
led to reduction of patient hospital stay and surgical treatment of pressure ulcer. Further ‘wound care’ nurses training in
Croatia can lead the trend towards advanced practice nursing in pressure ulcer prevention and conservative treatment.
期刊介绍:
ACTA MEDICA CROATICA publishes original contributions to medical sciences, that have not been previously published. All manuscripts should be written in English.