ACTUAL ISSUES OF SURGICAL CORRECTION OF PRESSURE ULCERS (REVIEW)
https://doi.org/10.17238/issn2072-3180.2021.2.77-86
Abstract
Introduction. Objective: analysis of the major problems of surgical correction of pressure ulcers.
Material and methods. Searching of data was carried out by keywords in the database PubMed.gov, as well as in the Russian scientific system – on last 20 years. More than 50 publications have been studied. underlying disease.
Conclusion. The problem of providing high-quality surgical care to patients with grade III-IV pressure ulcers is still far from being resolved. Plasty with displaced multilayer flaps is the method of choice that allows to adequately fill the tissue deficit, prevent the recurrence of extensive and deep decubital ulcers, and improve the quality of life of these patients. However, the final results are highly dependent on the quality of the pressure ulcer preparation, the choice of the optimal technique and postoperative care. A comprehensive assessment of chronic pressure ulcers and a personalized approach to treatment, based on an understanding of the deep pathophysiological mechanisms of the development of DU, their specificity, taking into account anatomical localization, length and depth of the lesion, will make it possible to optimize the results of corrective interventions in the future. Careful adherence to the aid technique and competent postoperative care are no less important. Nevertheless, this area of clinical practice remains the area of the highest risk of postoperative complications. This fact is the leading reason for the low surgical activity in DU.
About the Authors
E. G. Osmanov
Sechenov University, department of Faculty Surgery № 2
Russian Federation
Russian Federation
Osmanov Elkhan Gadzhihan oglu - Sechenov, professor
119991, Moscow, Trubeckaya str., 8 /2
А. M. Shulutko
Sechenov University, department of Faculty Surgery № 2
Russian Federation
Russian Federation
Shulutko Аleksandr Mihajlovich - MD, PHD, professor
119991, Moscow, Trubeckaya str., 8 /2,
S. Ju. Slepnev
V.P. Demikhov Clinical Hospital of the Moscow Department of Public Health
Russian Federation
Russian Federation
Slepnev Sergej Jur’evich - Head of the Department of Purulent Surgery
109263, Moscow, Shkuleva st., 4
A. A. Yakovlev
Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology
Russian Federation
Russian Federation
Yakovlev Aleksandr Alekseevich - head of the surgical department, MD
141534, Moskovskaya oblast’, Solnechnogorskij rajon, Lytkino, 777
E. L. Altukhov
Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology
Russian Federation
Russian Federation
Altukhov Evgeniy Leonidovich - head of the surgical department, MD
141534, Moskovskaya oblast’, Solnechnogorskij rajon, Lytkino, 777
T. R. Gogohija
Sechenov University, department of Faculty Surgery № 2
Russian Federation
Russian Federation
Gogohija Tristan Razhdenovich - assistant, MD, PHDD
119991, Moscow, Trubeckaya str.8 /2,
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For citations:
Osmanov E.G., Shulutko А.M., Slepnev S.J., Yakovlev A.A., Altukhov E.L., Gogohija T.R. ACTUAL ISSUES OF SURGICAL CORRECTION OF PRESSURE ULCERS (REVIEW). Moscow Surgical Journal. 2021;(2):77-86. (In Russ.) https://doi.org/10.17238/issn2072-3180.2021.2.77-86
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