The effect of early complications on flap selection on sacral pressure sores Sakral basi yaralarinda flep seçiminin erken komplikasyonlarla ilişkisi


Keleş M. K., Horoz U., Ballioğlu B., Seven E., İNÖZÜ E., Tellioğlu A. T.

Turkish Journal of Plastic Surgery, vol.25, no.2, pp.54-59, 2017 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 25 Issue: 2
  • Publication Date: 2017
  • Doi Number: 10.5152/turkjplastsurg.2017.2088
  • Journal Name: Turkish Journal of Plastic Surgery
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.54-59
  • Keywords: Pressure sore, sacral, complication, MYOCUTANEOUS FLAPS, ULCERS, REPAIR, MANAGEMENT, COVERAGE
  • Lokman Hekim University Affiliated: Yes

Abstract

Objective: Pressure sores occur in bedridden patients in intensive care units, clinics, and even at their own places. Care for sick relatives and working with doctors to address treatment options and ensure proper follow-up are some of the problems associated with these types of wounds. Surgical therapy in the treatment of pressure ulcers is associated with significant complications. In comparison to non-surgical treatment, surgical treatment has a low complication rate and is more cost-effective. The surgical treatment enables the patients to return to their social life sooner than non-surgical treatment. Patient's ability to early return to their social life is advantageous in terms of reducing morbidity and the need for additional operations. This study is aimed to review the flap choices used to treat sacral pressure sores and the resulting acute complications rates retrospectively. Material and Methods: Patients treated for stage 3 and stage 4 sacral pressure sores in our clinic in the past 5 years were included in the study. Patient records were analyzed retrospectively. Patients' demographic data and surgical treatment they received were documented. Surgical method and surgical outcomes were evaluated and early complication rates were determined. Result: Fifty patients were included in the study; 10 of them were female, 40 of were male cases. The most common causative agent was paraplegia after traffic accident. Conclusion: A significant difference was not observed between the type of flap used in the surgical treatment and the rate of complications. Consequently, the surgical treatment of pressure ulcers in the sacral region depends on the patient's individual situation, the cooperation of the family, and previously applied treatments.