2021
ROLE OF PLASTIC SURGEON IN SURGICAL TREATMENT OF PRESSURE ULCERS
HOKYNKOVÁ, Alica, Petr ŠÍN, Pavel ROTSCHEIN, Lucie NÁRTOVÁ, Pavel BRYCHTA et. al.Základní údaje
Originální název
ROLE OF PLASTIC SURGEON IN SURGICAL TREATMENT OF PRESSURE ULCERS
Název česky
Role plastického chirurga v chirurgické léčbě dekubitů
Autoři
Vydání
2021
Další údaje
Jazyk
angličtina
Typ výsledku
Vyžádané přednášky
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Organizační jednotka
Lékařská fakulta
Klíčová slova česky
dekubity, chirurgická léčba, laloková plastika, rekonstrukce
Klíčová slova anglicky
pressure ulcers, surgical treatment, flap plasty, reconstruction
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 9. 4. 2022 17:54, MUDr. Alica Hokynková, Ph.D., MBA
Anotace
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