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Multidisciplinary Approach to an Extended Pressure Sore at the Lumbosacral Area
Archives of Plastic Surgery ; : 586-589, 2016.
Article in English | WPRIM | ID: wpr-113634
ABSTRACT
A pressure sore wound is often extensive or complicated by local infection involving adjacent soft tissue and bone. In this case, a regional flap after simple debridement is not adequate. Here, we present a case of an extensive pressure sore in the sacral area with deep tissue infection. A 43-year-old female patient with a complicated sore with deep tissue infection had a presacral abscess, an iliopsoas abscess, and an epidural abscess in the lumbar spine. After a multidisciplinary approach performed in stages, the infection had subsided and removal of the devitalized tissue was possible. The large soft tissue defect with significant depth was reconstructed with a free latissimus dorsi musculocutaneous flap, which was expected to act as a local barrier from vertical infection and provide tensionless skin coverage upon hip flexion. The extensive sacral sore was treated effectively without complication, and the deep tissue infection completely resolved. There was no evidence of donor site morbidity, and wheelchair ambulation was possible by a month after surgery.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Osteomyelitis / Skin / Spine / Tissue Donors / Wheelchairs / Wounds and Injuries / Walking / Psoas Abscess / Epidural Abscess / Debridement Limits: Adult / Female / Humans Language: English Journal: Archives of Plastic Surgery Year: 2016 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Osteomyelitis / Skin / Spine / Tissue Donors / Wheelchairs / Wounds and Injuries / Walking / Psoas Abscess / Epidural Abscess / Debridement Limits: Adult / Female / Humans Language: English Journal: Archives of Plastic Surgery Year: 2016 Type: Article