“As a practicing rehabilitation physician in skilled nursing facilities and rehabilitation hospitals, I would provide orientation to new physical therapists and nurses to prevent pressure injuries to the heel. I would order arterial studies for patients admitted with heel sores, and proceed from there," states Greg Vigna, MD, JD, national malpractice attorney and wound care expert. [...]
“Appropriate patient selection, debridement, and reconstruction with appropriate postoperative rehabilitation can be very beneficial in elderly patients," states Fatih Irmak, MD, Department of Plastic Surgery, Istanbul, Turkey. What else did Dr. Irmak report in “Management and Treatment of Pressure Ulcers: Clinical Experience,” published in The Medical Bulletin of Sisli Etfal Hospital 2019; 53(1): 37-41?: “Although [...]
“A pressure ulcer should be closed surgically if it does not respond to wound care and there is no other contradiction to the surgical procedures. Exceptions may include the elderly or patients with a fatal illness, for whom palliative, local wound care is more appropriate” states Lisa J. Gould, MD, PhD, Plastic Surgeon, Chairperson, WHS [...]
“Neither diabetes nor other treatable comorbidities were significantly associated with major complications if the treatment of these factors is included in a multidisciplinary approach" says Dr. Dirk J Schaefer, Department of Plastic Surgery, University Hospital of Basel, Switzerland. What did Dr. Dirk J Schaefer report in “Risk Factors of Major Complications After Flap Surgery in [...]
“Critically ill patients often have complex medical conditions that may limit their ability to be repositioned frequently, necessitating a careful assessment and tailored approach" states Dr. Flavia Castelino, Ph.D. What else did Dr. Castelino report in “Nursing Interventions to Prevent Pressure Ulcers in Critically Ill Patients: A Review of the Evidence”, published in the Asian [...]
“Providing rehabilitation in patients with stage IV decubitus ulcers on the coccyx, ischium, or sacrum is at best difficult or futile at worst. In patients who desire myocutanteous flap closure, patients under my care, we would out of the bed rehabilitation until after surgical closure of the wound” … Greg Vigna, MD, JD, national wound care attorney. [...]
“The ulcers were considered to be the probable source of bacteraemia in 53% of the episodes," states I. A. Braga. What was reported in the article, “Bacterial colonization of pressure ulcers: assessment of risk for bloodstream infection and impact on patient outcomes” published in the Journal of Hospital Infection 83 (2013) 314-320. “A total of [...]
“The standard of care for management of deep Stage III and Stage IV decubitus ulcers includes the plastic surgery component. These are serious injuries and outcomes are bad without access to myocutaneous flaps” … Greg Vigna, MD, JD, national decubitus ulcer attorney, Board Certified Physical Medicine and Rehabilitation. Dr Anke Scheel-Sailer, MD, Spinal Cord Medicine, Swiss [...]
“The standard of care for management of deep Stage III and Stage IV decubitus ulcers includes the plastic surgery component. These are serious injuries and outcomes are bad without access to myocutaneous flaps” … Greg Vigna, MD, JD, national decubitus ulcer attorney, Board Certified Physical Medicine and Rehabilitation. Dr. Anke Scheel-Sailer, MD, Spinal Cord Medicine, Swiss [...]
“A systematic review revealed recurrence and complication rates of 8.9 and 18.6% in musculocutaneous, fasciocutaneous and perforator-based flaps for treatment of pressure sores.” … Bahram Biglari, MD, Ph.D. What did Dr. Biglari report in “A retrospective study on flap complications after pressure ulcer surgery in spinal cord-injured patients”, published in the Spinal Cord (2014) 52, [...]