Clinic for Burn, Plastic and Reconstructive Surgery, Department for Plastic Surgery, Clinical Center for Serbia, Belgrade, Serbia.
Int Wound J. 2011 Jun;8(3):313-6. doi: 10.1111/j.1742-481X.2011.00778.x.
Only a few papers have been published about unusual localisations of pressure ulcer. To date, no papers were published presenting pressure ulcer on external genitals in women. The paper presents the mechanism of origin of vulval pressure ulcer, surgical treatment (excision of lesion tissue of the pressure ulcer) and reconstruction of the vulva. The patient, aged 50, has been paraplegic for 20 years. During the last 3 years she has had a wound which was spreading in the region of the vulva. The pressure ulcer was surgically removed, external female genitals were reconstructed using advancement skin flap and the function and natural appearance of organs were re-established. The presence of all three aetiological factors for the formation of pressure ulcer - presence of prolonged pressure, swelling and infection - were proven in the described patient. For this reason, we are able to claim that this was in fact a pressure ulcer of the vulva. Reconstruction was simple without any complications and donor-site morbidity.
仅有少数几篇论文报道了压疮的不常见部位。迄今为止，还没有发表过关于女性外阴部压疮的论文。本文介绍了外阴部压疮的发病机制、手术治疗（切除压疮病灶组织）和外阴重建。患者为 50 岁女性，截瘫 20 年，近 3 年来外阴部出现一处不断扩大的创面。压疮经手术切除，采用推进皮瓣对外阴进行重建，恢复了器官的功能和自然外观。在描述的患者中，证实了形成压疮的三个病因因素均存在——长时间受压、肿胀和感染。因此，我们可以断言这实际上是一例外阴压疮。重建过程简单，无任何并发症和供区并发症。
