The Role of Reconstructive Surgery for Treating Pressure Injuries – A Review of Literature

Pressure injuries (PIs) represent a significant global health challenge, affecting approximately 10.8% of the European population in 2019. Their development is primarily attributed to ischemia and tissue necrosis resulting from prolonged pressure. According to the NPIAP classification, PIs are categ...

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Main Authors: Martyna Łukasiewicz, Magdalena Grotowska, Maria Wydro, Aleksandra Strawińska
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-01-01
Series:Quality in Sport
Subjects:
Online Access:https://apcz.umk.pl/QS/article/view/57709
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author Martyna Łukasiewicz
Magdalena Grotowska
Maria Wydro
Aleksandra Strawińska
author_facet Martyna Łukasiewicz
Magdalena Grotowska
Maria Wydro
Aleksandra Strawińska
author_sort Martyna Łukasiewicz
collection DOAJ
description Pressure injuries (PIs) represent a significant global health challenge, affecting approximately 10.8% of the European population in 2019. Their development is primarily attributed to ischemia and tissue necrosis resulting from prolonged pressure. According to the NPIAP classification, PIs are categorized into four stages, with surgical intervention predominantly indicated for stage III and IV ulcers. Reconstructive surgery encompasses various techniques, with debridement (the removal of necrotic tissue) being the most frequently performed procedure. An essential component of the healing process is negative pressure wound therapy (NPWT), which facilitates oxygen delivery to deeper tissue layers and promotes faster regeneration. Promising outcomes have also been observed with the use of regional flaps, particularly in the management of large bedsores and cases where other options are no longer viable. Despite advancements in surgical treatments, challenges such as graft rejection and high recurrence rates persist. The selection of the surgical approach should be guided by the patient’s overall health status and the specific characteristics of the ulcer. Effective management of PIs is critical for preventing prolonged hospitalizations and mitigating the risk of hospital-acquired infections, thereby significantly improving patients' quality of life.
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publisher Nicolaus Copernicus University in Toruń
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series Quality in Sport
spelling doaj-art-e1d0f2da5e8c43cdb95d9ab5241984d12025-01-28T08:25:07ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-01-013710.12775/QS.2024.37.57709The Role of Reconstructive Surgery for Treating Pressure Injuries – A Review of LiteratureMartyna Łukasiewicz0https://orcid.org/0000-0002-8816-1030Magdalena Grotowska1https://orcid.org/0009-0002-2812-7639Maria Wydro2https://orcid.org/0009-0009-6397-0737Aleksandra Strawińskahttps://orcid.org/0009-0009-6100-9766University Clinical Centre in Gdańsk, Smoluchowskiego 17, 80-214 Gdańsk, PolandMikołaj Kopernik Hospital in Gdańsk, Nowe Ogrody 1-6, 80-803 Gdańsk, PolandSt. Vincent a Paulo Hospital in Gdynia, Wójta Radtkego 1, 83-348 Gdynia, PolandPressure injuries (PIs) represent a significant global health challenge, affecting approximately 10.8% of the European population in 2019. Their development is primarily attributed to ischemia and tissue necrosis resulting from prolonged pressure. According to the NPIAP classification, PIs are categorized into four stages, with surgical intervention predominantly indicated for stage III and IV ulcers. Reconstructive surgery encompasses various techniques, with debridement (the removal of necrotic tissue) being the most frequently performed procedure. An essential component of the healing process is negative pressure wound therapy (NPWT), which facilitates oxygen delivery to deeper tissue layers and promotes faster regeneration. Promising outcomes have also been observed with the use of regional flaps, particularly in the management of large bedsores and cases where other options are no longer viable. Despite advancements in surgical treatments, challenges such as graft rejection and high recurrence rates persist. The selection of the surgical approach should be guided by the patient’s overall health status and the specific characteristics of the ulcer. Effective management of PIs is critical for preventing prolonged hospitalizations and mitigating the risk of hospital-acquired infections, thereby significantly improving patients' quality of life.https://apcz.umk.pl/QS/article/view/57709pressure injuriesreconstructive surgeryplastic surgerychronic woundssurgical management
spellingShingle Martyna Łukasiewicz
Magdalena Grotowska
Maria Wydro
Aleksandra Strawińska
The Role of Reconstructive Surgery for Treating Pressure Injuries – A Review of Literature
Quality in Sport
pressure injuries
reconstructive surgery
plastic surgery
chronic wounds
surgical management
title The Role of Reconstructive Surgery for Treating Pressure Injuries – A Review of Literature
title_full The Role of Reconstructive Surgery for Treating Pressure Injuries – A Review of Literature
title_fullStr The Role of Reconstructive Surgery for Treating Pressure Injuries – A Review of Literature
title_full_unstemmed The Role of Reconstructive Surgery for Treating Pressure Injuries – A Review of Literature
title_short The Role of Reconstructive Surgery for Treating Pressure Injuries – A Review of Literature
title_sort role of reconstructive surgery for treating pressure injuries a review of literature
topic pressure injuries
reconstructive surgery
plastic surgery
chronic wounds
surgical management
url https://apcz.umk.pl/QS/article/view/57709
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