Treating Pressure Injuries: Surgery
A large pressure injury is a threat to your health. Without surgical repair, these wounds can take a long time to heal. This can raise the risk for serious complications. If you think surgical repair of an injury is needed, review the goals of care with a healthcare provider. Also be sure you get good nutrition.
Surgical flap and skin graft
The goal is to close the injury and provide padding over the bony prominence. Healthy tissue from another part of the body is often used. A muscle flap is one of the best ways of repairing the injury, since a flap retains its own blood supply. This allows for more rapid healing. A skin graft can also close the wound. Living or artificial skin may be used.
These precautions should be taken after a surgical procedure:
Keep pressure off the affected area.
Keep the sutures clean.
Ensure wound drains stay open.
Watch for signs of infection and hematomas.
Watch for signs of impaired healing, such as a change in wound color or abnormal drainage.
Adherence to these precautions has been shown to be the best predictor of wound healing.
March 15, 2018
Diaz, S., Update in the Surgical Management of Decunitus Ulcers, Anaplatology (2013); 2(3); 1-10., Firriolo, Long-term OUtcomes After Flap Reconstruction in Pediatric Pressure Ulcers, Annals of Plastic Surgery, October, 2017
Freeborn, Donna, PhD, CNM, FNP,Hurd, Robert, MD