Negative wound pres­sure ther­apy in treatment of a pres­sure ulcer in paraplegics


Authors: T. Poch;  T. Vidim;  M. Štíchová
Authors‘ workplace: Centrum vaskulárních intervencí, chirurgické oddělení, Oblastní nemocnice Kolín a. s.
Published in: Cesk Slov Neurol N 2019; 82(Supplementum 1): 26-28
Category: Original Paper
doi: 10.14735/amcsnn2019S26

Overview

This is a case report about the treatment of a patient with post-traumatic paraplegia and pres­sure ulcer us­­ing negative pres­sure wound ther­apy. After treat­­ing the septic state of the patient, the neces­sary necrectomy was performed, which was fol­lowed by perform­­ing a sigmoideostomy and orchiectomy. Negative pres­sure wound ther­apy was then used to clean the defect. Despite the application of low molecular weight heparin, the condition was complicated by pulmonary embolism and subsequent heart failure, result­­ing in the death of the patient. This case report also documents the financial and time benefits of this treatment in the care of a complicated patient

Keywords:

pressure ulcer – paraplegia – negative pressure wound therapy


Sources

1. Mrňa L, Frajer L, Hoch J et al. Dekubity u paraplegiků. Rozhl Chir 2015; 94(8): 329– 332.

2. Vašíčková L, Siegelová J, Mašek M. Dekubity u pa­cientů spinální ambulance celoživotní péče FN Brno 2013– 2016. Cesk Slov Neurol N 2018; 81/ 114 (Suppl 1): S38– S42. doi: 10.14735/ amcsn­n2018S38.

Labels
Paediatric neurology Neurosurgery Neurology

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Czech and Slovak Neurology and Neurosurgery

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