ROLE OF PLASTIC SURGEON IN SURGICAL TREATMENT OF PRESSURE ULCERS
| Název česky | Role plastického chirurga v chirurgické léčbě dekubitů |
|---|---|
| Autoři | |
| Rok publikování | 2021 |
| Druh | Vyžádané přednášky |
| Fakulta / Pracoviště MU | |
| Citace | |
| Popis | Introduction: Surgical treatment of patients with pressure ulcer represents great challenge and often requires extensive multidisciplinary collaboration across medical specializations. Close cooperation with a nutritionist, microbiologist and other surgical specialists is often the only way to manage the situation successfully. Methods: Our experience with therapy of extensive pressure ulcers and their surgical treatment will be presented from the perspective of a plastic surgeon, considering the importance of multidisciplinary approach. Results: Surgical approach of PUs is often divided into two steps. First, only after proper radical surgical debridement, including bone structures and conceiving a proper surgical field, the wound can be closed by a plastic surgeon. The next step is the reconstruction phase. The key role is played by the plastic surgeon, who carefully plans the ideal timing of the defect closure and chooses an adequate flap cover. Reconstruction of large pressure ulcers is complicated by a significant occurrence of preand post-operative complications, which are not observed in surgical closure of other types of wound. Therefore, it is very important to eliminate risk factors before and after surgery, such as monitoring of biochemical markers, nutrition and microbiological colonization. Other point of discussion are limited number of surgeries in patients with pressure ulcers per year and lack of medical departments that can provide specialized care to these patients. Conclusions: The main question arising from our experience is whether there is any possibility to create „Pressure Ulcer Reconstructive Centre“ to cover demands for reconstructive surgery in our patients with pressure ulcer |