Myocutaneous Flap Surgery for Deep Stage III and Stage IV Bedsores is the Standard of Care

“Surgical intervention using flap reconstruction is the mainstay therapy for management of pressure injuries with advanced stages,” states Dr. Shima Bani Assad, MD, General Surgeon. Read Dr. Assad’s article: “Various Flaps Used for Reconstruction of Pressure Injuries: A Narrative Review” published in World J Plast Surg. 2025; 14(1):1-7: https://wjps.ir/files/site1/user_files_c1050c/peyman1234_-A-10-954-2-97aa446.pdf What is the prognosis for a patient [...]

2025-07-02T15:15:32-07:00June 14th, 2025|Decubitus Ulcer, News|0 Comments

Myocutaneous Flap Surgery for Deep Stage III and Stage IV Bedsores is the Standard of Care

“Surgical intervention using flap reconstruction is the mainstay therapy for management of pressure injuries with advanced stages,” states Dr. Shima Bani Assad, MD, General Surgeon. Read Dr. Assad’s article: “Various Flaps Used for Reconstruction of Pressure Injuries: A Narrative Review” published in World J Plast Surg. 2025; 14(1):1-7: https://wjps.ir/files/site1/user_files_c1050c/peyman1234_-A-10-954-2-97aa446.pdf What is the prognosis for a patient [...]

2025-07-02T12:16:22-07:00June 6th, 2025|Decubitus Ulcer, News|0 Comments

Message to Hospitalist: Stage III/IV Bedsores, Reconstructive Surgery ‘Should be Performed’

"Patients with hospital-acquired decubitus ulcers cannot be discharged to facilities that lack the capability to perform reconstructive surgery for cure, as this is an unsafe discharge. Hospitalists who authorize such discharges are exposed," states Greg Vigna, MD, JD, Board Certified Physical Medicine and Rehabilitation. Dr. Greg Vigna, MD, JD, national bedsore attorney, states, “For decades, physicians [...]

2025-07-02T12:13:07-07:00June 5th, 2025|Decubitus Ulcer, News|0 Comments

Length of Hospitalization for Stage III and IV Decubitus Ulcers Before and After 2015

“Today, patients who suffer hospital acquired Stage III or Stage IV pressure injuries are in the hospital 39 days less than those who suffered these injuries before 2015,” states Greg Vigna, MD, JD, Physical Medicine and Rehabilitation. Dr. Greg Vigna, national bedsore attorney, says, “Acute care hospitals are simply discharging patients with serious decubitus ulcers caused [...]

2025-07-02T12:01:58-07:00June 2nd, 2025|Decubitus Ulcer, News|0 Comments

Daleview Care Center Hit with ‘Never Event’ Bedsore Lawsuit

“We represent those who have hospital acquired Stage III or Stage IV bedsores that are discharged to nursing homes without being offered the standard of care recommended by Wound Healing Society Guidelines. Early flap closure is required to prevent malnutrition, chronic infection, sepsis, and death,” states Greg Vigna, MD, JD, national decubitus ulcer attorney. The National [...]

2025-05-14T16:29:07-07:00May 14th, 2025|Decubitus Ulcer, News|0 Comments

Decubitus Ulcers: The Medical Necessity of Palliative Wound Care in Long-Term Acute Hospitals

“Medicare reimburses providers for inpatient hospitalizationonly if “a physician certifies that such services are required to be given on an inpatient basis for such individual’s medical treatment, or that inpatient diagnostic study is medically required and such services are necessary for such purpose[.],” according to Centers for Medicare & Medicaid Services. 42 U.S.C. § 1395f(a)(3). [...]

2025-03-06T13:08:55-07:00March 6th, 2025|Decubitus Ulcer, News|0 Comments

Mortality Rate is ‘High’ in Bacteremia Associated with Pressure Ulcers

“Mortality rate is high, and hospital-acquired bacteremia, polymicrobial bacteremia, and serum albumin < 23 g/L are associated with increased mortality,” states Dr. Elena Espejo, Complex Wounds Working Group. Greg Vigna, MD, JD, national decubitus ulcer attorney explains, “Every hospital that discharges patients with a Stage IV decubitus ulcers, with or without osteomylitis, risks a bloodstream [...]

2025-03-06T12:50:40-07:00March 6th, 2025|Decubitus Ulcer, News|0 Comments

Ineffective Care: Healing May Not be the Goal of Wound Debridement

“The type of debridement should align with the treatment goals when managing a patient with a serious Stage III or Stage IV decubitus ulcer. Salvageable patients who desire flap closure require a debridement designed to get the wound ready for reconstructive surgery. That is best provided by the plastic surgeon,” states Greg Vigna, MD, JD, national [...]

2025-03-06T10:38:19-07:00March 6th, 2025|Decubitus Ulcer, News|0 Comments

Tele-ICU MDs and Traditional Care Show Similar Outcomes in ICU Length of Stay

“Daily multidisciplinary rounds conducted by a board-certified intensivist through telemedicine did not reduce ICU LOS in critically ill adult patients,” states Adriano J. Pereira, MD, PhD, Brazilian Research in Intensive Care Network, San Paulo, Brazil. Greg Vigna, MD, JD, national malpractice attorney, states, “There are various points of care critical to rendering safe and effective [...]

2025-01-06T16:34:34-07:00November 30th, 2024|Decubitus Ulcer, News|0 Comments
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