Ischial and Sacral Pressure Ulcers

DOI Web Site 参考文献42件
  • Abe Yoshiro
    Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Biomedical Sciences
  • Mineda Kazuhide
    Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Biomedical Sciences
  • Yamashita Yutaro
    Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Biomedical Sciences
  • Nagasaka Shinji
    Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Biomedical Sciences
  • Yamasaki Hiroyuki
    Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Biomedical Sciences
  • Bando Mayu
    Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Biomedical Sciences
  • Mima Shunsuke
    Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Biomedical Sciences
  • Hashimoto Ichiro
    Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Biomedical Sciences

書誌事項

タイトル別名
  • A Review of Optimal Treatments, Historical Management, and Surveillance Studies of the Japanese Population

説明

Background: Pressure ulcers remain a challenge for plastic surgeons to effectively manage because of the patient's underlying physical condition, weakness, risk factors associated with the diagnosis, and resultant insufficient wound healing that results in incomplete treatment or recurrence after surgery. This review describes and analyzes the current literature regarding the management of pressure ulcers.<br>Methods: Risk factors primarily associated with wound dehiscence and recurrence were identified via a PubMed literature search using “ischial pressure ulcers, sacral pressure ulcers, and surgical coverage” as keywords. We analyzed and compared them to data from the Committee of the Japanese Society of Pressure Ulcers in 2016 and our facility.<br/>Results: Many published reports contain pedagogical comments on the successful management of pressure ulcers that remain significant. Some reported risk factors associated with flap dehiscence and ulcer recurrence are age, low serum albumin levels, previous operative failures at the same site, and ischial ulcers. The prevalence of deep pressure ulcers at the sacrum was more than three times higher than that at any other site. At our facility, the most frequently performed surgeries were for ischial ulcers, and 86% of pressure ulcers healed after surgery.<br>Conclusions: Surgical site infection and surgical time were independent risk factors associated with wound dehiscence in the early phase after reconstruction. The effectiveness of closed wound management with negative-pressure wound therapy has been reported to be satisfactory for reconstructive surgeries with flaps for refractory pressure ulcers.<br/>

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