Pressure sore surgery in Najaf : personal experience

الملخص EN

Pressure sore is a common problem in medical and surgical wards, and entails considerable workload for medical and nursing staff.

A prospective study of 20 patients was done to evaluate the different treatment modalities of pressure sore in Najaf.

There were 25 stores in those patients, there sores were 12 (48 %) sacral sores, 6 (24 %) ischial sores, 5 (20 %) trochanteric, 2 (8 %) heel sores and one sore was seen on the anterior ankle region.

The main treatment modality in those patients was rotation fasciocutaneous flap 10 (40 %), wound excision and healing by secondary intention 6 (24 %) mainly for small ulcers, using of Tensor Fascia Lata FTL myocutaneuos flap 3 (12 %), skin graft 3 (12 %), Biceps Femoris muscle flap in one sore in a patient with poliomyelitis Gluteus Maximus flap in other patient, One flap showed partial necrosis .Partial wound dehiscence was noticed in 2 (1 %) cases, which was managed by secondary suturing in one case and by split skin graft in other case .The recurrence rate was 1 (4 %) seen in a patient with stage III sacral sore.

We conclude that simple rotation flap is useful and effective way of managing sacral sores while Tensor Fascia Lata flap is very beneficial in trochanteric sores that reach stage lll and lV.