Original scientific paper
PRESSURE ULCER TREATMENT EXPERIENCE AT CLINICAL DEPARTMENT OF PLASTIC, RECONSTRUCTIVE AND AESTHETIC SURGERY, DUBRAVA UNIVERSITY HOSPITAL: COMPARISON OF RESULTS RECORDED IN THE 2011-2016 AND 2003-2008 PERIOD
SREĆKO BUDI
; Dubrava University Hospital, Clinical Department of Plastic, Reconstructive and Aesthetic Surgery, Zagreb, Croatia
RADO ŽIC
; Dubrava University Hospital, Clinical Department of Plastic, Reconstructive and Aesthetic Surgery, Zagreb, Croatia
KREŠIMIR MARTIĆ
; Dubrava University Hospital, Clinical Department of Plastic, Reconstructive and Aesthetic Surgery, Zagreb, Croatia
FRANJO RUDMAN
; Dubrava University Hospital, Clinical Department of Plastic, Reconstructive and Aesthetic Surgery, Zagreb, Croatia
ZLATKO VLAJČIĆ
; Dubrava University Hospital, Clinical Department of Plastic, Reconstructive and Aesthetic Surgery, Zagreb, Croatia
RUDOLF MILANOVIĆ
; Dubrava University Hospital, Clinical Department of Plastic, Reconstructive and Aesthetic Surgery, Zagreb, Croatia
ŽELJKA ROJE
; Dubrava University Hospital, Clinical Department of Plastic, Reconstructive and Aesthetic Surgery, Zagreb, Croatia
ALEKSANDRA MUNJIZA
; Dubrava University Hospital, Clinical Department of Plastic, Reconstructive and Aesthetic Surgery, Zagreb, Croatia
IRIJANDA RAJKOVIĆ
; Dubrava University Hospital, Clinical Department of Plastic, Reconstructive and Aesthetic Surgery, Zagreb, Croatia
BOŽO GORJANC
; Dubrava University Hospital, Clinical Department of Plastic, Reconstructive and Aesthetic Surgery, Zagreb, Croatia
REBEKA HELD
; Dubrava University Hospital, Clinical Department of Plastic, Reconstructive and Aesthetic Surgery, Zagreb, Croatia
ANA MALETIĆ
; Dubrava University Hospital, Clinical Department of Plastic, Reconstructive and Aesthetic Surgery, Zagreb, Croatia
HRVOJE TUCAKOVIĆ
; Dubrava University Hospital, Clinical Department of Plastic, Reconstructive and Aesthetic Surgery, Zagreb, Croatia
ZDENKO STANEC
; Dubrava University Hospital, Clinical Department of Plastic, Reconstructive and Aesthetic Surgery, Zagreb, Croatia
Abstract
Results of this clinical study on surgical treatment of pressure ulcers at Department of Plastic, Reconstructive and Aesthetic Surgery, Dubrava University Hospital showed that there was no difference between the 2011-2016 and 2003-2008 periods, indicating continuation of good surgical treatment planning and appropriate postoperative care. Despite the smaller number of hospitalized patients in the 2011-2016 period (31 patients and 42 reconstructive procedures), the number of reconstructive procedure was similar to the recent 2003-2008 period (47 patients and 57 reconstructive procedures). The best results of reconstruction of sacral region pressure ulcer were achieved with fasciocutaneous and musculocutaneous flaps. Whenever possible, depending on the extent of the defect, musculocutaneous flaps should be preferred for reconstruction. It is especially suitable for pressure ulcer recurrence. For ischial region reconstruction, good results can be obtained by mobilizing the semimembranosus and/or semitendinosus in defect gap. For trochanteric region, the tensor fascia lata flap is a good choice. For maximal functional and reconstructive results, a multidisciplinary approach in pressure ulcer treatment has the leading role in the modern concept of wound healing. Surgical treatment should always include radical debridement, ostectomy and well planned defect reconstruction. Conservative treatment should be support to surgical treatment with a focus on patient health care and high hygiene measures. In recent years (2011-2016), the usage of better conservative treatment led to reduction of patient hospital stay and surgical treatment of pressure ulcer. Further ‘wound care’ nurses training in Croatia can lead the trend towards advanced practice nursing in pressure ulcer prevention and conservative treatment.
Keywords
pressure ulcer; reconstruction; multidisciplinary approach; new treatments
Hrčak ID:
167866
URI
Publication date:
23.10.2016.
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