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suck abstract from ncbi


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pmid26188755      G+Chir 2015 ; 36 (3): 112-6
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  • Surgical reconstructive procedures for treatment of ischial, sacral and trochanteric pressure ulcers #MMPMID26188755
  • MARCHI M; BATTAGLIA S; MARCHESE S; INTAGLIATA E; SPATARO C; VECCHIO R
  • G Chir 2015[May]; 36 (3): 112-6 PMID26188755show ga
  • Background: Pressure ulcers are frequent complications for long term hospitalized bed-ridden patients which are not able to move or move very little. In fact, the lesion forms in a skin and muscle region which undergoes a constant pressure between an underlying bone protrusion and a support structure such as a bed or a wheelchair. Initially only the outer layers are involved but in time, the ulcer can spread to the deeper structures and reach the bone. Patients and methods: In our work we described the anatomical areas that are most often subject to developing a pressure ulcer and we considered the surgical treatment and reconstructive procedures which are applied using a logical and rigorous sequence. Results: We considered 4 clinical cases (2 ischiatic sores, 1 sacral sore and 1 gluteal-trochanteric sore) which demonstrate the surgical treatment and the reconstructive pro-cedures. Conclusions: It is crucial to cover the defects with a thick flap to give more support and protection to the areas which undergo pressure and to lower the incidence of recurrences.
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