Evaluation of surgical treatment of pressure sore patients: 30 years of experience

Ahmet Demir; Engin Selamioğlu; İlker Altundağ; Mustafa Sertaç Ocak; Mehmet Berke Göztepe

Makale detayları

Evaluation of surgical treatment of pressure sore patients: 30 years of experience

Yazarlar:

Ahmet Demir | Engin Selamioğlu | İlker Altundağ | Mustafa Sertaç Ocak | Mehmet Berke Göztepe

Yayıncı:

Ondokuz Mayıs University

Ana Başlıklar:

Plastic Reconstructive and Aesthetic Surgery

Dergi:

Deneysel ve Klinik Tıp Dergisi Vol.42 Issue 3, pp.308-313

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001359820

pISSN:

1309-4483

Anahtar kelimeler:

Özet:

 Pressure sores develop as a result of continuous or intermittent pressure applied to a localized area, leading to tissue damage. Elderly, frail and long-term bedridden patients constitute a significant risk group. Pressure sores are treated both conservatively and surgically. Between 1993 and 2023, 207 patients and 340 pressure sores were examined in our clinic. The etiology of pressure ulcers, age of the patients, gender distribution, localization of the wounds, flap options, postoperative complications and recurrence rates were evaluated. Of the 207 patients evaluated, 127 61.3 were male and 80 38.6 were female, with a mean age of 44 years. Of the 340 wounds, 129 37.4 were in the sacral region, 92 27.4 in the ischial region, 69 20.2 in the trochanteric region, and 50 15 in other regions. In terms of clinical status, 64 were plegic, while 36 were bedridden non-plegic. Our primary treatment options included the gluteus maximus fasciocutaneous flap for sacral pressure wounds, the inferior gluteus maximus island flap for ischial pressure wounds, and the tensor fascia lata flap for trochanteric pressure wounds. However, the recent introduction of perforator flaps has expanded the range of surgical options available in our clinical approach to pressure sores. Recently, perforator flap techniquessuch as propeller flaps and SGAP flapshave been introduced into our practice for pressure ulcer reconstruction. The most common complication in early postoperative follow-up was suture line separation 7.0. There was no difference in complication rates between fasciocutane, musculocutaneous or perforator flaps applied in the surgery of pressure ulcers.

 Pressure sores develop as a result of continuous or intermittent pressure applied to a localized area, leading to tissue damage. Elderly, frail and long-term bedridden patients constitute a significant risk group. Pressure sores are treated both conservatively and surgically. Between 1993 and 2023, 207 patients and 340 pressure sores were examined in our clinic. The etiology of pressure ulcers, age of the patients, gender distribution, localization of the wounds, flap options, postoperative complications and recurrence rates were evaluated. Of the 207 patients evaluated, 127 61.3 were male and 80 38.6 were female, with a mean age of 44 years. Of the 340 wounds, 129 37.4 were in the sacral region, 92 27.4 in the ischial region, 69 20.2 in the trochanteric region, and 50 15 in other regions. In terms of clinical status, 64 were plegic, while 36 were bedridden non-plegic. Our primary treatment options included the gluteus maximus fasciocutaneous flap for sacral pressure wounds, the inferior gluteus maximus island flap for ischial pressure wounds, and the tensor fascia lata flap for trochanteric pressure wounds. However, the recent introduction of perforator flaps has expanded the range of surgical options available in our clinical approach to pressure sores. Recently, perforator flap techniquessuch as propeller flaps and SGAP flapshave been introduced into our practice for pressure ulcer reconstruction. The most common complication in early postoperative follow-up was suture line separation 7.0. There was no difference in complication rates between fasciocutane, musculocutaneous or perforator flaps applied in the surgery of pressure ulcers.

 Pressure sores develop as a result of continuous or intermittent pressure applied to a localized area, leading to tissue damage. Elderly, frail and long-term bedridden patients constitute a significant risk group. Pressure sores are treated both conservatively and surgically. Between 1993 and 2023, 207 patients and 340 pressure sores were examined in our clinic. The etiology of pressure ulcers, age of the patients, gender distribution, localization of the wounds, flap options, postoperative complications and recurrence rates were evaluated. Of the 207 patients evaluated, 127 61.3 were male and 80 38.6 were female, with a mean age of 44 years. Of the 340 wounds, 129 37.4 were in the sacral region, 92 27.4 in the ischial region, 69 20.2 in the trochanteric region, and 50 15 in other regions. In terms of clinical status, 64 were plegic, while 36 were bedridden non-plegic. Our primary treatment options included the gluteus maximus fasciocutaneous flap for sacral pressure wounds, the inferior gluteus maximus island flap for ischial pressure wounds, and the tensor fascia lata flap for trochanteric pressure wounds. However, the recent introduction of perforator flaps has expanded the range of surgical options available in our clinical approach to pressure sores. Recently, perforator flap techniquessuch as propeller flaps and SGAP flapshave been introduced into our practice for pressure ulcer reconstruction. The most common complication in early postoperative follow-up was suture line separation 7.0. There was no difference in complication rates between fasciocutane, musculocutaneous or perforator flaps applied in the surgery of pressure ulcers.

 Pressure sores develop as a result of continuous or intermittent pressure applied to a localized area, leading to tissue damage. Elderly, frail and long-term bedridden patients constitute a significant risk group. Pressure sores are treated both conservatively and surgically. Between 1993 and 2023, 207 patients and 340 pressure sores were examined in our clinic. The etiology of pressure ulcers, age of the patients, gender distribution, localization of the wounds, flap options, postoperative complications and recurrence rates were evaluated. Of the 207 patients evaluated, 127 61.3 were male and 80 38.6 were female, with a mean age of 44 years. Of the 340 wounds, 129 37.4 were in the sacral region, 92 27.4 in the ischial region, 69 20.2 in the trochanteric region, and 50 15 in other regions. In terms of clinical status, 64 were plegic, while 36 were bedridden non-plegic. Our primary treatment options included the gluteus maximus fasciocutaneous flap for sacral pressure wounds, the inferior gluteus maximus island flap for ischial pressure wounds, and the tensor fascia lata flap for trochanteric pressure wounds. However, the recent introduction of perforator flaps has expanded the range of surgical options available in our clinical approach to pressure sores. Recently, perforator flap techniquessuch as propeller flaps and SGAP flapshave been introduced into our practice for pressure ulcer reconstruction. The most common complication in early postoperative follow-up was suture line separation 7.0. There was no difference in complication rates between fasciocutane, musculocutaneous or perforator flaps applied in the surgery of pressure ulcers.

Makale detayları

Evaluation of surgical treatment of pressure sore patients: 30 years of experience

Yazarlar:

Ahmet Demir | Engin Selamioğlu | İlker Altundağ | Mustafa Sertaç Ocak | Mehmet Berke Göztepe

Yayıncı:

Ondokuz Mayıs University

Ana Başlıklar:

Plastic Reconstructive and Aesthetic Surgery

Dergi:

Deneysel ve Klinik Tıp Dergisi Vol.42 Issue 3, pp.308-313

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001359820

pISSN:

1309-4483

Pressure ulcers

surgical treatment

musculocutaneous flap

fasciocutaneous flap

perforator flap

Sayı

Makale detayları

Evaluation of surgical treatment of pressure sore patients: 30 years of experience

Yazarlar: Ahmet Demir | Engin Selamioğlu | İlker Altundağ | Mustafa Sertaç Ocak | Mehmet Berke Göztepe

Yayıncı: Ondokuz Mayıs University

Ana Başlıklar: Plastic Reconstructive and Aesthetic Surgery

Dergi: Deneysel ve Klinik Tıp Dergisi Vol.42 Issue 3, pp.308-313

Belge Tipi: Makale

Yayın Tarihi: 9/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001359820

pISSN: 1309-4483

Pressure ulcers

surgical treatment

musculocutaneous flap

fasciocutaneous flap

perforator flap

Sayı

Yazarlar:

Ahmet Demir | Engin Selamioğlu | İlker Altundağ | Mustafa Sertaç Ocak | Mehmet Berke Göztepe

Yayıncı:

Ondokuz Mayıs University

Ana Başlıklar:

Plastic Reconstructive and Aesthetic Surgery

Dergi:

Deneysel ve Klinik Tıp Dergisi Vol.42 Issue 3, pp.308-313

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001359820

pISSN:

1309-4483