Ricci JA, Bayer LR, Orgill DP, et al.
Plastic and reconstructive surgery. Date of publication 2017 Jan 1;volume 139(1):275e-286e.
1. Plast Reconstr Surg. 2017 Jan;139(1):275e-286e. doi:
10.1097/PRS.0000000000002850.
Evidence-Based Medicine: The Evaluation and Treatment of Pressure Injuries.
Ricci JA(1), Bayer LR, Orgill DP.
Author information:
(1)Boston, Mass. From the Division of Plastic Surgery, Brigham and Women's
Hospital, Harvard Medical School.
LEARNING OBJECTIVE: After studying this article, the participant should be able
to: 1. Discuss the approach to and rationale for pressure injury management,
including specific techniques for prevention and preoperative evaluation. 2.
Develop a management algorithm for these wounds that includes operative and
nonoperative modalities. 3. Understand how to identify and manage the
complications of surgical intervention for pressure injuries, including
recurrence.
SUMMARY: Pressure injuries are a common problem associated with great morbidity
and cost, often presenting as complex challenges for plastic surgeons. Although
the cause of these wounds is largely prolonged pressure, the true pathogenesis
involves many other factors, including friction, shear, moisture, nutrition, and
infection. This article outlines a systematic approach to evaluating and staging
pressure injuries, and provides strategies for treatment and prevention. Critical
to surgical intervention is thorough débridement, including any involved or
causative bony tissues, and postoperative management to prevent wound dehiscence
and recurrence.
DOI: 10.1097/PRS.0000000000002850
PMID: 28027261 [Indexed for MEDLINE]
