A clinical study of surgical management of pelvic girdle pressure sores: a three-year experience

Abstract

Introduction It is critical to categorize pressure ulcers at different stages to establish effective treatment plans. Debridement and excision of the underlying bursa and implicated bone tissue, followed by tissue covering, are the basic surgical procedures. This research examines patient characteristics, results, and complications, reporting on our experience treating pressure ulcers. Methods All the 25 individuals had a total of 39 pressure ulcers treated. The sacral ulcer was the most common. Three-quarters of the cases were related to pressure ulcer formation in hospitals. Debridement, primary repair, skin grafts, V-Y fasciocutaneous flap, transverse lumbar fasciocutaneous flap, V-Y tensor fascia lata flap, inferior gluteal rotational myocutaneous flap, and V-Y gluteal myocutaneous flap were among the available treatment options. Results Complications happened in 19%. Most of the time, pressure ulcers may be prevented with adequate understanding of their etiology and appropriate patient treatment for those who are at risk. Given the frequency of complications, recurrence, and new ulcers, treatment of individuals with pressure ulcers requires multidisciplinary involvement as well as family involvement. For the best prognosis and appropriate closure of the ulcer, complications and risk factors such as poor hygiene, anemia, diabetes, infection, and hypoalbuminemia should be avoided. Conclusion In the medical sector as a whole, pressure sores are a prevalent issue. The pelvic girdle pressure points appear to be the focus of most sores. Medical personnel who are in charge of patient monitoring must be knowledgeable about the main risk factors.