ROLE OF PLASTIC SURGEON IN SURGICAL TREATMENT OF  PRESSURE
ULCERS

p 2021

ROLE OF PLASTIC SURGEON IN SURGICAL TREATMENT OF PRESSURE ULCERS

HOKYNKOVÁ, Alica, Petr ŠÍN, Pavel ROTSCHEIN, Lucie NÁRTOVÁ, Pavel BRYCHTA et. al.

Basic information

Original name

ROLE OF PLASTIC SURGEON IN SURGICAL TREATMENT OF PRESSURE ULCERS

Name in Czech

Role plastického chirurga v chirurgické léčbě dekubitů

Authors

HOKYNKOVÁ, Alica, Petr ŠÍN, Pavel ROTSCHEIN, Lucie NÁRTOVÁ and Pavel BRYCHTA

Edition

2021

Other information

Language

English

Type of outcome

Vyžádané přednášky

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Organization unit

Faculty of Medicine

Keywords (in Czech)

dekubity, chirurgická léčba, laloková plastika, rekonstrukce

Keywords in English

pressure ulcers, surgical treatment, flap plasty, reconstruction

Abstract

V originále

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

Citovat

HOKYNKOVÁ, Alica, Petr ŠÍN, Pavel ROTSCHEIN, Lucie NÁRTOVÁ and Pavel BRYCHTA. ROLE OF PLASTIC SURGEON IN SURGICAL TREATMENT OF PRESSURE ULCERS. 2021.

@misc{1845917,
   author = {Hokynková, Alica and Šín, Petr and Rotschein, Pavel and Nártová, Lucie and Brychta, Pavel},
   keywords = {pressure ulcers, surgical treatment, flap plasty, reconstruction},
   language = {eng},
   title = {ROLE OF PLASTIC SURGEON IN SURGICAL TREATMENT OF PRESSURE ULCERS},
   url = {https://epuap2021.org/},
   year = {2021}
}

TY  - SLIDE
ID  - 1845917
AU  - Hokynková, Alica - Šín, Petr - Rotschein, Pavel - Nártová, Lucie - Brychta, Pavel
PY  - 2021
TI  - ROLE OF PLASTIC SURGEON IN SURGICAL TREATMENT OF PRESSURE ULCERS
KW  - pressure ulcers, surgical treatment, flap plasty, reconstruction
UR  - https://epuap2021.org/
N2  - 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
ER  -

HOKYNKOVÁ, Alica, Petr ŠÍN, Pavel ROTSCHEIN, Lucie NÁRTOVÁ and Pavel BRYCHTA. \textit{ROLE OF PLASTIC SURGEON IN SURGICAL TREATMENT OF PRESSURE ULCERS}. 2021.

Detailed Information on Publication Record