The role of plastic surgery in the treatment of pressure injuries: report of 38 cases in a trauma care center
Introduction: Pressure injuries are caused by a local increase in external pressure, leading to ischemia and necrosis. They involve multidisciplinary treatment, and their management includes conservative and/or surgical procedures. The plastic surgeon plays a key role in the surgical treatm...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2022-09-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/3166/en_v37n3a08.pdf |
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| author | Carolina Peressutti Dayane Raquel de Paula Vanessa Sayuri Ogawa Ana Paula Trombetta Kappes Emanuela Messias Schwendler Guataçara Schenfelder Salles |
| author_facet | Carolina Peressutti Dayane Raquel de Paula Vanessa Sayuri Ogawa Ana Paula Trombetta Kappes Emanuela Messias Schwendler Guataçara Schenfelder Salles |
| author_sort | Carolina Peressutti |
| collection | DOAJ |
| description | Introduction:
Pressure injuries are caused by a local increase in external pressure, leading to ischemia and necrosis. They involve multidisciplinary treatment, and their management includes conservative and/or surgical procedures. The plastic surgeon plays a key role in the surgical treatment of these injuries.
Methods:
Medical records of 38 patients with pressure injuries, single or multiple, treated by Plastic Surgery at Hospital do Trabalhador, Curitiba-PR, Brazil) from June 2012 to March 2020 were analyzed. In this observational study, the characteristics of 45 pressure injuries were considered together with the surgical techniques employed and their outcomes.
Results:
The average age of the patients were 35.4 years, the majority being men. The lesions were located mainly in the ischiatic and sacral regions, predominating the classification of the III and IV degrees. The lesions were mostly located in the ischial, sacral and trochanteric regions, predominantly grades III and IV. Debridement was performed, followed by coverage with flaps and skin grafts, mostly gluteal VY advancement flaps and gluteal island. Some patients developed complications in the postoperative period, mainly flap dehiscence and/or infection.
Conclusion:
Pressure injuries predominated in young adult male patients, unlike the global prevalence (elderly and/or patients with chronic diseases). The greatest incidences occurred in the ischial and sacral regions, explained by the limitation of movements charged to the profile of victims of major trauma. The most used flap was the gluteus maximus flap to treat these lesions. |
| format | Article |
| id | doaj-art-41d7148b85614b6986240ef4a072954c |
| institution | Kabale University |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2022-09-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-41d7148b85614b6986240ef4a072954c2025-08-20T03:33:10ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352022-09-01370331331910.5935/2177-1235.2022RBCP.594-enThe role of plastic surgery in the treatment of pressure injuries: report of 38 cases in a trauma care centerCarolina Peressutti0Dayane Raquel de Paula1Vanessa Sayuri Ogawa2Ana Paula Trombetta Kappes3Emanuela Messias Schwendler4Guataçara Schenfelder Salles5Universidade Federal do Paraná, Hospital de Clínicas, Curitiba, PR, Brazil.Hospital do Trabalhador, Serviço de Cirurgia Plástica Reparadora, Curitiba, PR, Brazil.Universidade Federal do Paraná, Hospital de Clínicas, Curitiba, PR, Brazil.Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil.Universidade Positivo, Curitiba, PR, Brazil.Hospital do Trabalhador, Serviço de Cirurgia Plástica Reparadora, Curitiba, PR, Brazil.Introduction: Pressure injuries are caused by a local increase in external pressure, leading to ischemia and necrosis. They involve multidisciplinary treatment, and their management includes conservative and/or surgical procedures. The plastic surgeon plays a key role in the surgical treatment of these injuries. Methods: Medical records of 38 patients with pressure injuries, single or multiple, treated by Plastic Surgery at Hospital do Trabalhador, Curitiba-PR, Brazil) from June 2012 to March 2020 were analyzed. In this observational study, the characteristics of 45 pressure injuries were considered together with the surgical techniques employed and their outcomes. Results: The average age of the patients were 35.4 years, the majority being men. The lesions were located mainly in the ischiatic and sacral regions, predominating the classification of the III and IV degrees. The lesions were mostly located in the ischial, sacral and trochanteric regions, predominantly grades III and IV. Debridement was performed, followed by coverage with flaps and skin grafts, mostly gluteal VY advancement flaps and gluteal island. Some patients developed complications in the postoperative period, mainly flap dehiscence and/or infection. Conclusion: Pressure injuries predominated in young adult male patients, unlike the global prevalence (elderly and/or patients with chronic diseases). The greatest incidences occurred in the ischial and sacral regions, explained by the limitation of movements charged to the profile of victims of major trauma. The most used flap was the gluteus maximus flap to treat these lesions.http://www.rbcp.org.br/export-pdf/3166/en_v37n3a08.pdfpressure ulcersurgery, plasticsurgical flapsreconstructive surgical procedurestrauma centers |
| spellingShingle | Carolina Peressutti Dayane Raquel de Paula Vanessa Sayuri Ogawa Ana Paula Trombetta Kappes Emanuela Messias Schwendler Guataçara Schenfelder Salles The role of plastic surgery in the treatment of pressure injuries: report of 38 cases in a trauma care center Revista Brasileira de Cirurgia Plástica pressure ulcer surgery, plastic surgical flaps reconstructive surgical procedures trauma centers |
| title | The role of plastic surgery in the treatment of pressure injuries: report of 38 cases in a trauma care center |
| title_full | The role of plastic surgery in the treatment of pressure injuries: report of 38 cases in a trauma care center |
| title_fullStr | The role of plastic surgery in the treatment of pressure injuries: report of 38 cases in a trauma care center |
| title_full_unstemmed | The role of plastic surgery in the treatment of pressure injuries: report of 38 cases in a trauma care center |
| title_short | The role of plastic surgery in the treatment of pressure injuries: report of 38 cases in a trauma care center |
| title_sort | role of plastic surgery in the treatment of pressure injuries report of 38 cases in a trauma care center |
| topic | pressure ulcer surgery, plastic surgical flaps reconstructive surgical procedures trauma centers |
| url | http://www.rbcp.org.br/export-pdf/3166/en_v37n3a08.pdf |
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