PRESSURE SORE
Prepared by:
Dr.mohammed abd alhussein laftah
Resident of plastic and reconstructive
surgery
Pressure sore
 Definition: soft tissue injury caused by
unrelieved pressure over bony prominence
Pressure sore
Staging:
 Stage 1: erythema persist more than 1 hr. after
pressure relief.
 Stage 2:blister or other break...
Pressure sore
 Stage I
Pressure sore
 StageII
Pressure sore
 StageIII
Pressure sore
 StageIII
Pressure sore
 Unstagable
Pressure sore
 Unstagable
Pressure sore
 Pressure Areas
Pressure sore
Pressure sore
Pressure sore
 Incidence in hospitalized patient about 9%.
Risk factors:
 Aging
 Male gender
 Sensory impairment
 Moi...
Pressure sore
Factor accelerate bed sore progression:
 Infection
 Inflammation
 Edema
Pressure sore
Preoperative care:
 Nutritional status assessment
 Control of local and systemic infection.
 Pressure and...
Pressure sore
Surgical treatment:
 Debridement
 Ostectomy
 Pressure sore closure.
Pressure sore
Ischial defects:
 High recurrence rate
 Methods:
 Medially based thigh flap
 Gluteus maximus muscle flap...
Pressure sore
Sacral defect:
 Musculocutaneous flap
 Fasciocutaneous flap’
Trochanteric defect:
 Tensor fascia lata fla...
Pressure sore
Postoperative care:
 Nutrition
 Medical control (d.m. ,ht. ,spasm)
 Nursing care.
 Turn over every 2 hrs...
Pressure sore
Carcinoma:
 The most common is sequamous cell carcinoma and
can compare it to carcinoma raised in burn scar...
of 20

Pressure sore

introduction of principle of pressure sore treatment
Published on: Mar 4, 2016
Published in: Healthcare      
Source: www.slideshare.net


Transcripts - Pressure sore

  • 1. PRESSURE SORE Prepared by: Dr.mohammed abd alhussein laftah Resident of plastic and reconstructive surgery
  • 2. Pressure sore  Definition: soft tissue injury caused by unrelieved pressure over bony prominence
  • 3. Pressure sore Staging:  Stage 1: erythema persist more than 1 hr. after pressure relief.  Stage 2:blister or other break in the dermis with or without infection.  Stage 3:subcutaneous destruction into the muscle with or without infection.  Stage 4: involvement of bone or joint with or without infection.  Unstageable  Full thickness tissue loss in which the base of the ulcer is covered by slough and/or eschar.
  • 4. Pressure sore  Stage I
  • 5. Pressure sore  StageII
  • 6. Pressure sore  StageIII
  • 7. Pressure sore  StageIII
  • 8. Pressure sore  Unstagable
  • 9. Pressure sore  Unstagable
  • 10. Pressure sore  Pressure Areas
  • 11. Pressure sore
  • 12. Pressure sore
  • 13. Pressure sore  Incidence in hospitalized patient about 9%. Risk factors:  Aging  Male gender  Sensory impairment  Moisture  Immobility  Malnourishment  Friction shear force.
  • 14. Pressure sore Factor accelerate bed sore progression:  Infection  Inflammation  Edema
  • 15. Pressure sore Preoperative care:  Nutritional status assessment  Control of local and systemic infection.  Pressure and spasm relief.
  • 16. Pressure sore Surgical treatment:  Debridement  Ostectomy  Pressure sore closure.
  • 17. Pressure sore Ischial defects:  High recurrence rate  Methods:  Medially based thigh flap  Gluteus maximus muscle flap.  Gluteu maximus myocutaneous flap  V-y advancement flap  Gluteal Iceland thigh flap  Tensor fascia lata thigh flap  Graclis flap
  • 18. Pressure sore Sacral defect:  Musculocutaneous flap  Fasciocutaneous flap’ Trochanteric defect:  Tensor fascia lata flap.
  • 19. Pressure sore Postoperative care:  Nutrition  Medical control (d.m. ,ht. ,spasm)  Nursing care.  Turn over every 2 hrs.  Broad spectrum ab.  Sphincter control.
  • 20. Pressure sore Carcinoma:  The most common is sequamous cell carcinoma and can compare it to carcinoma raised in burn scar:  Its more aggressive  Metastatic rate is higher 61% compared to 34%.  Time interval of development is reduced 25 y compared to 30 y in burn related carcinoma.  Wide surgical excision to clear margins is recommended prophylactic lymph node dissection is not recommended but indicated if clinically involved.

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