Sacral bed Sore

-
original wound

Excised wound

Flap marked

Flap insetted
Bed sore are common problem in bed ridden patients. Good nursing care ,2 hrs posture changing , keeping patient clean and dry can prevent bed sore but are really tough to follow.

Bed sore are graded 1 to 4 . Grade 4 are the sore reached upto bone and grade 1 is just involving skin rest is in between. Grade 1 and 2 are managed with wound care only it is expected to heal but grade 3 and 4 require surgery.
Surgery involves debridement of wound and flap cover. Various types of flaps are being described to cover the wound.



Dr Adhishwar Sharma 8860650846 adhishwar7@gmail.com

Comments

Post a Comment

Popular posts from this blog

Pseudo bursa following abdominoplasty

-
Image
At six months post op Six months Post op six months Bursa fluid Final closure MRI Scan MRI Scan showing pseudobursa pre op pre op photo pre op wound A young Tanzanian doctor who was ENT surgeon by training went to Korea for training and decided to get abdominoplasty done in 2015. Post operative he was fine . In 2016 he noticed swelling in abdomen which was increasing in size. It made breathing difficult, it was pain ful and interfere in daily activities.  In 2017 he came to us in India and requested a solution to his problem. A physical examination was done, and a MRI scan was ordered. MRI scan showed a cystic swelling in the abdominal wall .  Patient was taken up for surgery and that pseudo bursa was excised. Post op was uneventful, at six months patient was showing normal profile. Dr Adhishwar Sharma MBBS ,MS General Surgery PGIMER Chd Mch Plastic Surgery Fellowship...
Read more

thumb replant

-
Image
amputated part preserved in saline amputation stump successful revascularization of thumb  . Pink  thumb  16 year old girl under went replant of thumb for traumatic amputation thumb . She was taken up for surgery and long vein graft was placed to connect radial artery to ulnar digital artery of thumb. thumb pinked up and then two veins were repaired. Part survived then then the patient was transferred to ICU for monitoring . Subsequently patient underwent groin flap for wound coverage. Dr Adhishwar Sharma MBBS,MS General Surgery PGIMER Chd Mch Plastic Surgery Fellowship in hand and microvascular surgery 8860650846, adhishwar7@gmail.com
Read more

Degloving injury forearm and ALT flap

-
Image
                                                      degloving injury initial injury photo Immediate post op                                               at two weeks healed flap at three weeks At three weeks skin grafted donor site skin grafted thigh degloving injury finally healed flap at two months final hand function Degloving injury occurred to 21 years old male while coming from religious pilgrimage . Patient had total degloving of forearm skin , with extensive crushing of muscles. Patient had small liver injury as well as degloving of right thigh as well.   Pt was investigated and planne for debridement. After debridement patient was taken...
Read more