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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Language: | English |
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Nicolaus Copernicus University in Toruń
2025-01-01
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Series: | Quality in Sport |
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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. |
format | Article |
id | doaj-art-e1d0f2da5e8c43cdb95d9ab5241984d1 |
institution | Kabale University |
issn | 2450-3118 |
language | English |
publishDate | 2025-01-01 |
publisher | Nicolaus Copernicus University in Toruń |
record_format | Article |
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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