Modern approach to the treatment of stage IV decubitus ulcers

Abstract

Objective a retrospective assessment of the bedsores' features, the optimization of treatment tactics, evaluation of long-term treatment results.
 Material and methods.The study group included 38 patients with stage IV decubitus ulcers according to the classification of AHCPR localized in the sacral region, the area of the ischial tuberosity and the greater trochanter.
 Results.We determined the critical time intervals for the decubitus ulcers occurrence. It has been found that in most patients bedsores are remaining for a long period of time. The modern complex methods for the IV stage decubitus ulcers treatment with the plastics of the soft tissue defects revealed their reliably higher effectiveness.
 Conclusion.The formation of bedsores most often occurs during the first month after the injury and three years after the injury. The treatment of patients with this pathology should be comprehensive and carried out in the well-equipped purulent surgery department by the specialists experienced in treating such patients. The plastic surgery by displaced blood-supplying flaps contributes to success in the treatment of stage IV bedsores.