Multidisciplinary Approach to an Extended Pressure Sore at the Lumbosacral Area.
10.5999/aps.2016.43.6.586
- Author:
Sehoon YOON
1
;
Euicheol JEONG
;
Hudson Alex LÁZARO
Author Information
1. Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Pressure ulcer;
Osteomyelitis;
Epidural abcess;
Psoas abscess
- MeSH:
Abscess;
Adult;
Debridement;
Epidural Abscess;
Female;
Hip;
Humans;
Myocutaneous Flap;
Osteomyelitis;
Pressure Ulcer*;
Psoas Abscess;
Skin;
Spine;
Superficial Back Muscles;
Tissue Donors;
Walking;
Wheelchairs;
Wounds and Injuries
- From:Archives of Plastic Surgery
2016;43(6):586-589
- CountryRepublic of Korea
- Language:English
-
Abstract:
A pressure sore wound is often extensive or complicated by local infection involving adjacent soft tissue and bone. In this case, a regional flap after simple debridement is not adequate. Here, we present a case of an extensive pressure sore in the sacral area with deep tissue infection. A 43-year-old female patient with a complicated sore with deep tissue infection had a presacral abscess, an iliopsoas abscess, and an epidural abscess in the lumbar spine. After a multidisciplinary approach performed in stages, the infection had subsided and removal of the devitalized tissue was possible. The large soft tissue defect with significant depth was reconstructed with a free latissimus dorsi musculocutaneous flap, which was expected to act as a local barrier from vertical infection and provide tensionless skin coverage upon hip flexion. The extensive sacral sore was treated effectively without complication, and the deep tissue infection completely resolved. There was no evidence of donor site morbidity, and wheelchair ambulation was possible by a month after surgery.
